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. Turner syndrome is a chromosomal disorder affecting females and does not typically coincide with VSD.

B. Trisomy 18 (also called Edwards syndrome) is a chromosomal disorder that often presents with congenital heart defects, including VSD.

C. Spina bifida is a neural tube defect and is not directly related to VSD.

D. Trisomy 21 (Down syndrome) may have congenital heart defects but is not specifically associated with VSD as commonly as trisomy 18.

A. "When I am having an asthma attack, my airway is constricting and it can become dangerous" B. "should try to identify what causes me to have an asthma attack and avoid those activities if possible" C. "I’ve really been wanting to sleep with my dog and my asthma attacks will not stop me" D. "I will take albuterol prior to exercising to avoid an attack" E. "When I am having an asthma attack, I should call 911 before doing anything else"

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

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