A 4-year-old client presents to the emergency department with drooling, agitation, and inability to cough. The nurse should recognize these findings are associated with which diagnosis?

Bronchiolitis

Asthma

Nasopharyngitis

Bacterial epiglottitis

Answer and Explanation

The Correct Answer is D

A. Bronchiolitis usually presents with wheezing and difficulty breathing, not drooling or inability to cough.

B. Asthma typically presents with wheezing, shortness of breath, and coughing, but not with drooling or an inability to cough.

C. Nasopharyngitis, or the common cold, usually causes symptoms like runny nose, cough, and sore throat, but not drooling or agitation.

D. Bacterial epiglottitis is a life-threatening condition characterized by drooling, agitation, inability to cough, and potential airway obstruction. The child often appears anxious and sits leaning forward in a "tripod" position.

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Correct Answer is B

Explanation

A. Offering a pacifier is contraindicated after cleft lip and palate repair as it can disrupt the surgical site and interfere with healing.

B. Maintaining elbow restraints prevents the infant from touching or putting objects in their mouth, which could disrupt the surgical site and compromise healing.

C. The Trendelenburg position is not recommended as it can increase pressure on the surgical site and compromise breathing.

D. An ice collar may be used for pain relief in older children or adults but is not typically used in infants, and it may not be feasible in this population.

A. "Circumcision will be delayed to save tissue for the surgical repair." B. "Emergency surgical repair will be necessary to restore normal function." C. "Your child's urethral opening is located on the top of the penis." D. "Your child's testicles have not descended into the scrotal sac."

Correct Answer is A

Explanation

A. Circumcision is often delayed in newborns with hypospadias because the foreskin may be needed for the surgical repair of the urethra.

B. While surgery is necessary, it is not typically an emergency; it is planned and performed later in infancy.

C. In hypospadias, the urethral opening is located on the underside (ventral side) of the penis, not the top.

D. Undescended testicles (cryptorchidism) are a separate condition from hypospadias.

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A 4-year-old client presents to the emergency department with drooling, agitation, and inability to cough. The nurse should recognize these findings are associated with which diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant in the post-anesthesia care unit following cleft lip and palate repair. What is an appropriate action for the nurse to take?

Correct Answer is B

Explanation

The nurse is reviewing the treatment plan with the parents of a newborn with hypospadias. Which statement should the nurse include in the teaching when describing this disorder?

Correct Answer is A

Explanation

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