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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is ["C","E"]
Explanation
A. This statement is correct. Airway constriction during an asthma attack can be dangerous.
B. Identifying and avoiding asthma triggers is an appropriate strategy for managing asthma.
C. Keeping a pet in the home when allergic to it or exposed to asthma triggers can worsen symptoms. This needs further education about asthma management.
D. Taking albuterol prior to exercise is a recommended strategy to prevent exercise-induced asthma.
E. Calling 911 immediately during an asthma attack is not the first step unless the child is unable to manage it with their prescribed rescue medication (e.g., albuterol). The first action should be to use the rescue inhaler.
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