A nurse in a clinic is assisting with the care of a 3-year-old toddler.
The nurse is reviewing the collected data.
For each finding, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than 1 disease process.
Type of cough
Irritability
Fever
Stridor
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A"}}
Acute Laryngotracheobronchitis (Croup): This condition typically presents with a barking, seal-like cough and inspiratory stridor due to inflammation of the upper airway, often caused by a viral infection such as parainfluenza virus.
Pneumonia: While irritability and fever can be present in both conditions, the presence of stridor (especially inspiratory) is more characteristic of Acute Laryngotracheobronchitis. Pneumonia typically presents with a productive cough, fever, and signs of lower respiratory tract involvement such as crackles or decreased breath sounds on auscultation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"E"}
Explanation
Medication (Ceftriaxone): Given the infant's history of amoxicillin allergy, there is a potential cross-reactivity concern with cephalosporins like ceftriaxone. It's crucial to clarify the allergy details and assess for any potential allergic reactions before administering.
Finding (Allergy): The infant has a documented allergy to amoxicillin, which raises concerns about potential cross-reactivity with cephalosporins, including ceftriaxone. Clarifying the allergy details ensures safe administration and prevents adverse reactions.
Correct Answer is D
Explanation
A. Tinnitus is not commonly associated with hypocalcemia. It is more often related to issues with the auditory system or certain medications.
B. Elevated blood pressure is not a typical sign of hypocalcemia. Hypocalcemia usually affects neuromuscular function rather than causing changes in blood pressure.
C. Constipation is not commonly linked to hypocalcemia. More frequent symptoms include neuromuscular irritability and spasms.
D. Muscle tremors are a common finding in hypocalcemia due to increased neuromuscular excitability. Hypocalcemia can lead to symptoms such as muscle cramps, spasms, and tremors due to the low levels of calcium affecting nerve and muscle function.
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