The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?

Absence of spontaneous cough and dysphonia

Generalized skin flushing

Coarse tremors and splenomegaly

Harsh, productive cough and rhinorrhea

Answer and Explanation

The Correct Answer is A

A. In epiglottitis, there is typically an absence of spontaneous cough because of severe airway obstruction. Dysphonia (difficulty speaking) is also common due to swelling of the epiglottis.

B. Generalized skin flushing is not a common finding in epiglottitis.

C. Coarse tremors and splenomegaly are not associated with epiglottitis.

D. A harsh, productive cough and rhinorrhea are more common with viral respiratory infections, not epiglottitis.

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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.

A. "My child needs to stay home from school for at least 2 weeks to complete the entire prescription of eye drops" B. "My child cannot return to school until free from discharge" C. "My child will need to stay home from school until my child has received the eye medication for at least 24 to 48 hours" D. "My child can return to school immediately because my child is not contagious"

Correct Answer is C

Explanation

A. Staying home for 2 weeks is excessive; typically, 24 to 48 hours of antimicrobial therapy is enough before the child is no longer contagious.

B. While discharge is a sign of infection, the child can often return to school after receiving treatment for 24 to 48 hours.

C. This is correct. Bacterial conjunctivitis is contagious, and children should stay home until they've been on antibiotics for 24 to 48 hours to reduce transmission.

D. This is incorrect; the child should stay home for 24 to 48 hours after starting treatment, as they can still be contagious during that time.

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The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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