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 B

Explanation

A. Withhold fluids until the client demonstrates a gag reflex: Withholding fluids until the gag reflex returns is not an appropriate intervention to prevent aspiration. The presence of a gag reflex does not guarantee the absence of aspiration risk. Additionally, depriving the client of fluids can lead to dehydration, which is not conducive to recovery.

B. Suction the nasopharynx as needed: This is the correct intervention to prevent aspiration in a client who is postoperative following anesthesia. Suctioning the nasopharynx helps remove secretions or blood that could obstruct the airway and lead to aspiration.

C. Perform chest physiotherapy: While chest physiotherapy may be beneficial for promoting lung expansion and clearing respiratory secretions, it is not specifically aimed at preventing aspiration. This intervention is more commonly used to manage conditions such as pneumonia or cystic fibrosis.

D. Place a bedside humidifier at the head of the client's bed: Using a bedside humidifier may help maintain airway moisture, but it does not directly address the risk of aspiration. While it can be a comfort measure, it is not a primary intervention for preventing aspiration in a postoperative client.

A. "Placing your child on her back when sleeping will decrease the risk of SIDS. B. "Sleep apnea is the main cause of SIDS." C. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines" D. "SIDS rates have been rising, over the last 10 years"

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.

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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

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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