A nurse is caring for a toddler who has acute laryngotracheobonchitis after a repair of an intussusception. Which of the indicates that the treatment has been effective?

Barking cough

Decreased stridor

Decreased temperature

Improved hydration

Answer and Explanation

The Correct Answer is B

A. Barking cough: A barking cough is a characteristic symptom of acute laryngotracheobronchitis (croup), indicating inflammation of the upper airway. While it may improve with treatment, it is not necessarily an indication that the treatment has been effective on its own.

B. Decreased stridor: Stridor is a high-pitched, wheezing sound heard during inspiration and indicates upper airway obstruction. In acute laryngotracheobronchitis, stridor is a prominent symptom. Decreased stridor suggests that the airway obstruction is resolving, which indicates that the treatment has been effective.

C. Decreased temperature: While fever may be present in some cases of acute laryngotracheobronchitis, it is not a defining characteristic. A decreased temperature alone does not necessarily indicate that the treatment has been effective in managing the condition.

D. Improved hydration: Hydration is important in managing any illness, including acute laryngotracheobronchitis, but improved hydration alone does not indicate that the treatment has been effective in resolving the condition. It may be an important aspect of supportive care but does not directly reflect the resolution of airway obstruction.

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Correct Answer is A

Explanation

A. "Placing your child on her back when sleeping will decrease the risk of SIDS." This statement is accurate. The American Academy of Pediatrics (AAP) recommends that infants be placed on their backs to sleep to reduce the risk of SIDS. This sleep position has been associated with a significant decrease in the incidence of SIDS since it was introduced in the 1990s. It's essential to educate parents about safe sleep practices to protect their newborns.

B. "Sleep apnea is the main cause of SIDS." This statement is incorrect. Sleep apnea is a separate condition characterized by pauses in breathing during sleep. SIDS, on the other hand, is the sudden and unexplained death of an otherwise healthy infant, usually during sleep. While the exact cause of SIDS is unknown, it is not related to sleep apnea.

C. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines." This statement is incorrect. There is no direct correlation between SIDS and the diphtheria, tetanus, and pertussis (DTaP) vaccines. Extensive research has shown that vaccines, including the DTaP vaccine, do not cause SIDS. In fact, vaccines are essential for preventing serious infectious diseases and protecting infants' health.

D. "SIDS rates have been rising over the last 10 years." This statement is incorrect. SIDS rates have actually been declining over the past few decades due to public health campaigns promoting safe sleep practices, including placing infants on their backs to sleep. While there may be fluctuations in rates from year to year, the overall trend has been a decrease in SIDS rates, not an increase.

A. Congenital anomalies B. Respiratory distress C. Sudden infant death syndrome D. Low birth weight

Correct Answer is A

Explanation

Rationale:

A) Congenital anomalies: Congenital anomalies, also known as birth defects, are structural or functional abnormalities present at birth. They can affect any part of the body and may cause physical or developmental disabilities, as well as contribute to infant mortality. These anomalies can result from genetic factors, environmental exposures during pregnancy, or a combination of both. Preventive measures such as prenatal care, genetic counseling, and maternal health promotion play crucial roles in reducing the incidence and impact of congenital anomalies.

B) Respiratory distress: While respiratory distress can be a significant concern in newborns, especially those born prematurely or with certain medical conditions, it is not the leading cause of death among infants. Respiratory distress syndrome (RDS) occurs primarily in premature infants due to immature lung development and surfactant deficiency, requiring supportive care and sometimes mechanical ventilation to manage.

C) Sudden infant death syndrome (SIDS): SIDS is the sudden and unexplained death of an otherwise healthy infant, typically occurring during sleep. While SIDS is a devastating tragedy and a major public health concern, it is not the leading cause of death among infants. Strategies to reduce the risk of SIDS include placing infants on their backs to sleep, avoiding soft bedding and overheating, and promoting a safe sleep environment.

D) Low birth weight: Low birth weight, defined as a birth weight of less than 2,500 grams (5.5 pounds), is associated with an increased risk of neonatal complications and long-term health issues. While low birth weight infants may face various health challenges, including respiratory problems and developmental delays, low birth weight itself is not the leading cause of death among infants. Efforts to reduce low birth weight include prenatal care, nutrition support, and management of maternal risk factors such as smoking and substance abuse.

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A nurse is caring for a toddler who has acute laryngotracheobonchitis after a repair of an intussusception. Which of the indicates that the treatment has been effective?

Nursing Test Bank

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