A nurse is assessing a child whose history reveals an upper respiratory illness that has progressed to a persistent cough characterized by an inspiratory whoop. The nurse would suspect which of the following?
Pertussis
Asthma
Bronchiolitis
Acute Laryngotraceobronchitis (LTB)
The Correct Answer is A
A. Pertussis:
Pertussis, commonly known as whooping cough, is caused by the bacterium Bordetella pertussis. It is characterized by a persistent cough with a distinctive "whoop" sound during the inspiratory phase. The cough can be severe and may last for several weeks. The characteristic whooping sound is due to the rapid intake of breath after a coughing episode.
B. Asthma:
Asthma is a chronic respiratory condition characterized by recurrent episodes of wheezing, coughing, and shortness of breath. It is not typically associated with a whooping sound during the inspiratory phase. Asthma symptoms are often triggered by factors such as allergies, exercise, or exposure to irritants.
C. Bronchiolitis:
Bronchiolitis is commonly caused by respiratory syncytial virus (RSV), especially in infants. It presents with symptoms such as cough, wheezing, and respiratory distress. However, it does not involve the characteristic whooping cough sound seen in pertussis.
D. Acute Laryngotracheobronchitis (LTB):
Acute Laryngotracheobronchitis, or croup, is characterized by a barking cough, stridor (a high-pitched sound during inhalation), and respiratory distress. It is common in young children and is often caused by viruses. Unlike pertussis, it does not typically include the distinctive whooping sound.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.75"]
Explanation
To administer the correct dose of ampicillin IM, the nurse needs to calculate the amount of solution to draw up from the vial.
The vial contains 1 g of ampicillin in 5 mL of solution, which means that each mL has 200 mg of ampicillin.
To get 350 mg of ampicillin, the nurse needs to divide 350 by 200, which gives 1.75.
Therefore, the nurse needs to draw up 1.75 mL of solution for an IM injection.
Correct Answer is ["B","C","D","E"]
Explanation
A. “We will keep our household hot water heater at 130 degrees.”
The recommended setting for a hot water heater is typically 120 degrees Fahrenheit to prevent scalds. Setting it at 130 degrees may still pose a risk of burns to young children.
B. “We will place poisonous substances in a high cupboard.”
Placing poisonous substances out of reach in a high cupboard is a safety measure to prevent children from accessing potentially harmful substances.
C. “We will place a gate at the top and bottom of stairways.”
Using safety gates at the top and bottom of stairways is an effective way to prevent young children from falling down stairs.
D. “We will put plastic fillers in all electrical plugs.”
Placing plastic fillers in electrical plugs helps prevent children from inserting objects into outlets, reducing the risk of electric shock.
E. “We will turn handles of pans on the stove toward the back of the stove.”
Turning handles of pans on the stove toward the back is a safety measure to prevent young children from reaching up and pulling hot items off the stove.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.