A nurse is assisting in the care of a 6-year-old child.

Exhibits

Complete the following sentence by using the lists of options.

The nurse should identify that the child is at risk for

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due to

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A. "I will apply the antibiotic ointment in the morning and use the drops at bedtime." is incorrect. If an antibiotic is prescribed, either drops or ointment are typically used, but not both. Additionally, viral conjunctivitis does not require antibiotics, so treatment depends on the underlying cause.

B. "I will use a separate washcloth to clean the affected eye." is correct. Using a separate washcloth prevents the spread of infection to the unaffected eye or to others. Conjunctivitis is highly contagious, and proper hygiene is essential in preventing its spread.

C. "I will wipe from the outer to inner corners of the eye to remove secretions." is incorrect. The correct technique is to wipe from the inner to the outer canthus to prevent spreading debris and infection toward the tear ducts.

D. "I will leave a warm, moist compress on the affected eye for 10 minutes." is incorrect. While warm compresses can help soothe irritation, prolonged moisture can create an environment for bacterial growth. Shorter applications are recommended, and cool compresses may also provide relief.

Fever

• Acute laryngotracheobronchitis: Yes, fever is common in acute laryngotracheobronchitis, especially in the early stages as the body reacts to infection.
• Pneumonia: Yes, pneumonia can also cause fever as the body responds to the infection in the lungs.

 Stridor

• Acute laryngotracheobronchitis: Yes, stridor is a hallmark sign of acute laryngotracheobronchitis, particularly during inspiration. It occurs due to swelling and narrowing of the upper airway.
• Pneumonia: No, stridor is not typically associated with pneumonia. Pneumonia involves lower respiratory tract infection, and the symptoms usually include cough, fever, and difficulty breathing rather than stridor.

 Type of cough

• Acute laryngotracheobronchitis: Yes, a barking, non-productive cough is characteristic of acute laryngotracheobronchitis, often described as a "seal-like" cough.
• Pneumonia: No, pneumonia typically presents with a productive cough, often with mucus or sputum.

 Irritability

• Acute laryngotracheobronchitis: Yes, irritability is common in toddlers with acute laryngotracheobronchitis, especially when they are struggling to breathe or feel uncomfortable due to the upper airway inflammation.
• Pneumonia: Yes, irritability can also be seen in children with pneumonia, as they may be feeling unwell due to fever, difficulty breathing, and chest discomfort