A nurse is caring for a 3-year-old child.
For each of the flowing findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process
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 C
Explanation
A. Allowing the infant to self-soothe by crying prior to feeding is not appropriate, as it may lead to increased stress and fatigue, which can worsen heart failure symptoms.
B. Placing the infant in an upright position during feeding helps to reduce the risk of aspiration and promotes effective swallowing.
C. Infants with heart failure have a weakened heart that struggles to pump blood efficiently. Feeding can be tiring for them, and they might not be able to consume large volumes at once. A smaller, more frequent feeding schedule allows them to take in enough calories without overexertion. This approach helps manage their energy expenditure and reduces stress on the heart.
D. While some infants might take longer to feed, heart failure can make feeding tiring. Offering smaller, more frequent feedings can help the infant consume enough calories without expending too much energy.
Correct Answer is ["B","C","D"]
Explanation
A. Partial thromboplastin time (PTT) is not typically used to diagnose rheumatic fever. It is used to evaluate coagulation disorders.
B. Elevated C-reactive protein (CRP) levels indicate inflammation, which can be associated with rheumatic fever.
C. Elevated erythrocyte sedimentation rate (ESR) is a marker of inflammation and can be elevated in rheumatic fever.
D. Elevated Antistreptolysin O (ASO) titer indicates recent streptococcal infection, which is a predisposing factor for rheumatic fever.
E. Blood urea nitrogen (BUN) is not typically used to diagnose rheumatic fever. It is used to assess kidney function.
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.