What distinguishing manifestation of spasmodic croup should parents be taught to identify?
The child has a high fever.
It has a harsh, barky cough.
It is bacterial in nature.
Wheezing is heard audibly.
The Correct Answer is B
The correct answer is choice B. It has a harsh, barky cough.
Choice A rationale:
Spasmodic croup is characterized by sudden-onset symptoms, including a barking cough, but it is not typically associated with a high fever. The barky cough is caused by inflammation and narrowing of the upper airways, leading to a distinct sound when the child coughs.
Choice B rationale:
A harsh, barky cough is a hallmark symptom of spasmodic croup. It is caused by the swelling of the vocal cords and the upper airway, resulting in the characteristic sound. This type of croup is often triggered by viral infections and is usually not bacterial in nature.
Choice C rationale:
Spasmodic croup is usually of viral origin rather than bacterial. Bacterial infections may lead to other respiratory conditions, but they are not a distinguishing feature of spasmodic croup.
Choice D rationale:
Wheezing is not a typical manifestation of spasmodic croup. Wheezing is often associated with lower airway conditions such as asthma, while croup primarily affects the upper airways and vocal cords, leading to the barking cough.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.
Choice A rationale:
Drawing is the most appropriate activity for developing fine motor skills in school-age children. Drawing involves precise hand movements, control of a writing instrument, and attention to detail. These skills contribute to fine motor skill development and hand-eye coordination.
Choice B rationale:
Singing is not directly related to fine motor skill development. While it can promote cognitive and social development, it does not require the same level of fine motor control as activities like drawing or writing.
Choice C rationale:
Swimming is a gross motor activity that focuses more on large muscle groups and overall coordination. It does not specifically target the refinement of fine motor skills.
Choice D rationale:
Soccer is also a gross motor activity that involves running, kicking, and coordination with teammates. While it promotes physical fitness and coordination, it does not emphasize the fine motor control required for activities like drawing.
Correct Answer is A
Explanation
The correct answer is choice A: Anaphylactic shock.
Choice A rationale:
Anaphylactic shock is the correct answer. Anaphylactic shock is a severe and potentially life-threatening allergic reaction that causes massive vasodilation, capillary leakage, and bronchoconstriction. It can occur rapidly after exposure to an allergen such as certain foods, insect stings, medications, or latex. The release of histamine and other inflammatory mediators leads to systemic vasodilation and increased permeability of blood vessels, resulting in a sudden drop in blood pressure and compromised organ perfusion.
Choice B rationale:
Cardiogenic shock is characterized by inadequate cardiac output due to severe heart dysfunction. It is typically caused by conditions like myocardial infarction, heart failure, or other cardiac issues. While allergic reactions can potentially affect the cardiovascular system, the symptoms described in the question are more indicative of anaphylactic shock.
Choice C rationale:
Neurogenic shock results from disruption of sympathetic nervous system control over blood vessel tone, often due to spinal cord injury or severe emotional distress. This leads to widespread vasodilation and a sudden drop in blood pressure. While it can cause hemodynamic instability, it doesn't specifically involve the hypersensitivity reaction and capillary leaks associated with anaphylactic shock.
Choice D rationale:
Hypovolemic shock is caused by a significant loss of blood volume or bodily fluids, leading to decreased intravascular volume and subsequent inadequate tissue perfusion. This shock type is not directly related to a hypersensitivity reaction or capillary leakage caused by allergic responses. 2 / 2
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