A nurse is caring for a 3-year-old child.
Irritability
Cough findings at 0800
Stridor
Temperature
The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A,B"}}
Both acute laryngotracheobronchitis (croup) and pneumonia can cause irritability in a child due to discomfort from respiratory symptoms and fever.
The presence of a barking, non-productive cough at 0800 is consistent with acute laryngotracheobronchitis (croup), as it is a characteristic symptom. Pneumonia can also present with cough, but it is typically productive and associated with other respiratory symptoms such as dyspnea and crackles.
Stridor, an inspiratory wheezing sound, is a hallmark symptom of acute laryngotracheobronchitis (croup) due to inflammation and narrowing of the upper airway. It is not typically associated with pneumonia.
Fever can occur in both acute laryngotracheobronchitis (croup) and pneumonia. In this case, the tympanic temperatures of 38.1°C and 38.2°C are consistent with both conditions. However, pneumonia may present with higher fevers compared to croup.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Waking from naps with a dry diaper indicates that the toddler’s bladder is able to hold urine for an extended period, a sign of physical readiness for toilet training.
B. Staying dry for 1 hour during the daytime is a good indication of bladder control and readiness for toilet training.
C. Comfort with waiting for a diaper change does not necessarily indicate readiness for toilet training.
D. Sitting on the toilet for 2 to 3 minutes is more about comfort than readiness, and toddlers may not sit still for that long.
Correct Answer is B
Explanation
A. The anesthesiologist would typically explain their role, but the primary responsibility for explaining the procedure lies with the provider performing it.
B. If a guardian does not understand the procedure, the nurse should notify the provider to ensure that the guardian receives a full explanation. The provider is responsible for clarifying any misunderstandings regarding the procedure.
C. While the nurse can provide general information, the provider must explain the details of the procedure to ensure informed consent is obtained.
D. The nurse should not witness the consent unless the guardian fully understands and consents to the procedure.
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