Which assessment finding is expected in a child diagnosed with croup?

accessory muscle use, nasal flaring, and wheezing on exhalation

a normal respiratory rate, thick mucus plugs, and clubbing of the fingers

fever, a barking cough, increased respiratory rate, and stridor

frothy pink sputum, crackles on auscultation, and a weak cough

Answer and Explanation

The Correct Answer is C

A. Accessory muscle use and nasal flaring may occur, but wheezing on exhalation is more typical in lower respiratory issues, such as asthma.

B. Thick mucus plugs and clubbing of the fingers are often associated with chronic conditions like cystic fibrosis, not croup.

C. Croup is a viral illness commonly presenting with fever, a characteristic “barking” cough, increased respiratory rate, and inspiratory stridor due to upper airway obstruction.

D. Frothy pink sputum and crackles are more indicative of pulmonary edema rather than croup.

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Correct Answer is D

Explanation

A. Serum creatinine levels within the normal range (0.6-1.2) do not specifically indicate intra-renal AKI.

B. A high 24-hour creatinine clearance is not typically associated with intra-renal AKI, as kidney injury often leads to decreased filtration and clearance.

C. A low serum creatinine level (0.5) would generally indicate good kidney function rather than AKI.

D. Casts in the urine are indicative of damage within the kidney tubules, which is a characteristic finding of intra-renal AKI, often due to cellular injury or necrosis within the kidney itself.

A. "Reduced salt makes food taste less appealing, so you will lose weight, reducing your blood pressure." B. "A low-sodium diet has been shown to reduce blood pressure." C. "The blood volume will be decreased after a high intake of sodium." D. "Salt intake and smoking go together; reducing one helps with the other."

Correct Answer is B

Explanation

A. While sodium reduction might indirectly impact weight in some cases, its primary role in blood pressure control is related to its effect on blood volume and vascular resistance.

B. Sodium reduction is proven to help reduce blood pressure by lowering blood volume and decreasing vascular resistance.

C. Sodium actually leads to fluid retention, which can increase blood volume and raise blood pressure, not decrease it.

D. There is no direct link between sodium intake and smoking habits; reducing sodium primarily affects blood pressure management independently of smoking.

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Which assessment finding is expected in a child diagnosed with croup?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient presents with acute oliguria. Lab tests are done to pinpoint the cause. The nurse believes the patient has developed intra-renal acute kidney injury (AKI), based on which typical finding?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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