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

Lithium toxicity is a significant concern for clients taking lithium, a mood stabilizer commonly prescribed for bipolar disorder. Diarrhea can lead to dehydration and electrolyte imbalances, which can increase lithium levels in the blood, potentially leading to toxicity. Therefore, cautioning against experiencing diarrhea is essential in discharge teaching for clients prescribed lithium.

Option A is correct because it identifies a factor that can contribute to lithium toxicity. Diarrhea can lead to fluid and electrolyte imbalances, affecting lithium levels in the blood.

Option B, drinking green tea, is not typically associated with lithium toxicity. Green tea contains caffeine, but its consumption is not a significant risk factor for lithium toxicity.

Option C, exercising moderately, is generally encouraged for overall health and well-being. However, it does not directly relate to lithium toxicity unless excessive sweating leads to dehydration and electrolyte imbalances.

Option D, increasing sodium intake, is typically discouraged for clients taking lithium because high sodium levels can affect lithium reabsorption in the kidneys, potentially leading to increased lithium levels and toxicity. However, this option is not directly related to the question about factors causing lithium toxicity.

A. Use touch to calm the client during periods of anxiety B. Rotate staff assignments for this client. C. Check the client's mouth after the client takes medication. D. Assign assistive personnel to feed the client at mealtimes.

Correct Answer is C

Explanation

A. Using touch to calm the client during periods of anxiety: Clients with paranoid schizophrenia may have heightened sensitivity to touch and may interpret it as threatening or intrusive. Therefore, using touch to calm the client may exacerbate their anxiety rather than alleviate it.

B. Rotating staff assignments for this client: Consistency in staff assignments can help establish trust and rapport with clients with paranoid schizophrenia. Rotating staff may disrupt this continuity and potentially increase the client's paranoia and suspicion.

C. Checking the client's mouth after the client takes medication: Clients with paranoid schizophrenia may exhibit medication non-compliance due to distrust or suspicion of medications. Checking the client's mouth after medication administration ensures that the client has ingested the medication and helps prevent hoarding or hiding of medication.

D. Assigning assistive personnel to feed the client at mealtimes: Clients with paranoid schizophrenia may have difficulty trusting others, particularly with personal activities such as feeding. Assigning assistive personnel to feed the client may increase the client's paranoia and resistance to care. It's essential to promote the client's autonomy and independence while providing support as needed.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?

Correct Answer is A

Explanation

A nurse is planning care for a client who has paranoid schizophrenia. Which of the following interventions should be included in the plan of care?

Correct Answer is C

Explanation

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