The nurse is assessing a 2-year-old client with symptoms of excessive drooling, respiratory distress, difficulty swallowing, and difficulty speaking. Based on these assessment findings, which conditions does the nurse suspect?

Croup

Epiglottitis

Bronchiolitis

Laryngotracheobronchitis

Answer and Explanation

The Correct Answer is B

A. Croup is a viral infection that typically presents with a barking cough and stridor, rather than difficulty swallowing and excessive drooling.

B. Epiglottitis is a life-threatening condition characterized by sudden onset of fever, drooling, difficulty swallowing, and difficulty speaking (dysphonia). It is a medical emergency and often caused by Haemophilus influenzae type B.

C. Bronchiolitis is usually caused by respiratory syncytial virus (RSV) and presents with wheezing, cough, and respiratory distress but not typically with drooling or difficulty swallowing.

D. Laryngotracheobronchitis (another name for croup) also presents with a barking cough and stridor but does not cause difficulty swallowing or drooling.

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Correct Answer is A

Explanation

A. Respiratory Syncytial Virus (RSV) is the most common cause of bronchiolitis, particularly in infants and toddlers.

B. Haemophilus influenzae type B causes epiglottitis and other respiratory infections but is not a leading cause of bronchiolitis.

C. Adenovirus can cause respiratory infections but is not the primary pathogen for bronchiolitis.

D. Rhinovirus causes the common cold but is not typically responsible for bronchiolitis.

A. Household smoking B. A history of urinary tract infections C. Exposure to illness in daycare centers or schools D. Native American ethnicity E. Absence of breastfeeding F. Craniofacial anomalies

Correct Answer is ["A","C","D","E","F"]

Explanation

A. Household smoking increases the risk of otitis media by irritating the respiratory tract and impairing immune function.

B. A history of urinary tract infections is not a risk factor for otitis media.

C. Exposure to illness in daycare centers or schools increases the likelihood of respiratory infections, which can lead to otitis media.

D. Native American ethnicity has a higher incidence of otitis media, likely due to genetic and environmental factors.

E. Absence of breastfeeding increases the risk of otitis media because breastfeeding provides immune protection.

F. Craniofacial anomalies (e.g., cleft palate) increase the risk of otitis media due to poor Eustachian tube function and chronic ear infections.

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The nurse is assessing a 2-year-old client with symptoms of excessive drooling, respiratory distress, difficulty swallowing, and difficulty speaking. Based on these assessment findings, which conditions does the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reinforcing education to the parents of a toddler diagnosed with bronchiolitis. The nurse informs the parents that which of the following is the most common cause of bronchiolitis?

Correct Answer is A

Explanation

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Correct Answer is ["A","C","D","E","F"]

Explanation

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