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 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.

A. Aortic stenosis (AS) B. Transposition of the Great Vessels (Arteries) C. Coarctation of the Aorta (COA) D. Tetralogy of Fallot (TOF)

Correct Answer is C

Explanation

A. Aortic stenosis (AS) typically causes a difference in blood flow across the aortic valve but does not usually require assessment of upper and lower extremity blood pressures.

B. Transposition of the Great Vessels (Arteries) results in cyanosis and abnormal circulatory flow but does not require upper and lower extremity blood pressure monitoring.

C. Coarctation of the Aorta (COA) is characterized by narrowing of the aorta, often resulting in higher blood pressure in the upper extremities compared to the lower extremities. Measuring both helps identify this condition.

D. Tetralogy of Fallot (TOF) involves right ventricular outflow obstruction, VSD, overriding aorta, and right ventricular hypertrophy, but upper and lower extremity blood pressures are not typically used for diagnosis.

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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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