The parent of a toddler calls the nurse, asking about croup. What is a distinguishing manifestation of croup?
Stridor
Wheezes
Crackles
Rhonchi
The Correct Answer is A
Choice A reason: Stridor is a high-pitched, harsh sound that occurs during inspiration. It is caused by the narrowing of the upper airway due to inflammation and edema. Stridor is a characteristic sign of croup, also known as laryngotracheobronchitis.
Choice B reason: Wheezes are high-pitched, musical sounds that occur during expiration. They are caused by the narrowing of the lower airway due to bronchoconstriction or mucus. Wheezes are more common in asthma than in croup.
Choice C reason: Crackles are fine, crackling sounds that occur during inspiration. They are caused by the opening of collapsed or fluid-filled alveoli. Crackles are more common in pneumonia or heart failure than in croup.
Choice D reason: Rhonchi are low-pitched, snoring sounds that occur during expiration. They are caused by the vibration of mucus in the large airways. Rhonchi are more common in bronchitis or cystic fibrosis than in croup.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is not correct because the mother's action is not intended to calm or punish the child for having a tantrum. It is a traditional healing method that aims to restore the balance of energy in the body.
Choice B reason: This is correct because the mother's action is a form of folk medicine known as coining or cao gio. It involves rubbing a coin or a spoon on the skin with oil or ointment to create red marks or bruises. It is believed to release the wind or bad energy that causes illness or pain.
Choice C reason: This is not correct because the mother's action is not a form of discipline or correction. It is a way of showing care and concern for the child's well-being.
Choice D reason: This is not correct because the mother's action is not abusive or harmful. It is a cultural practice that is based on a different understanding of health and disease. It may look alarming to outsiders, but it is not intended to hurt or injure the child.
Correct Answer is C
Explanation
Choice A reason: Fidelity is the principle of being faithful and loyal to one's commitments and obligations. It is not directly related to the situation, although the nurse may have a duty to respect the parent's wishes.
Choice B reason: Equality is the principle of treating everyone fairly and impartially. It is not relevant to the situation, as there is no issue of discrimination or favoritism involved.
Choice C reason: Autonomy is the principle of respecting the right of individuals to make their own decisions. It is the most applicable to the situation, as the nurse recognizes the parent's authority to decide what is best for their child.
Choice D reason: Justice is the principle of distributing benefits and burdens equitably and according to valid criteria. It is not pertinent to the situation, as there is no conflict of interest or allocation of resources involved.
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