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. A story book about a child who has diabetes. While providing information about diabetes through a storybook may be beneficial for the child's understanding of the condition, it may not directly address the distress experienced after an insulin injection. This option focuses more on education rather than immediate coping with the injection-related distress.

B. A needleless syringe and a doll. This is the correct choice. Providing a needleless syringe and a doll allows the child to engage in pretend play and role-play scenarios related to the insulin injection experience. Through play, the child can express their feelings, fears, and experiences in a safe and non-threatening environment. This type of play activity can help the child gain a sense of control, familiarity, and mastery over the situation, thereby reducing distress and anxiety associated with future injections.

C. A period of play in the playroom. While engaging in play in the playroom may offer the child opportunities for distraction and enjoyment, it may not specifically address the distress experienced after an insulin injection. The effectiveness of this option in helping the child cope with the injection-related distress may depend on the specific activities available in the playroom and the child's preferences.

D. A video game. Playing a video game may provide the child with distraction and entertainment, but it may not directly address the distress experienced after an insulin injection. Additionally, screen time may not be suitable for every child, and the therapeutic benefits of video games in this context may vary.

A. "I will feed my baby on a schedule every 4 hours." B. "I will add Polycose to each of my baby's bottles." C. "I will allow my baby to take as much time as needed to finish the bottle" D. "I will limit my babies crying to 15 minutes prior to each feeding."

Correct Answer is C

Explanation

A. "I will feed my baby on a schedule every 4 hours": Feeding an infant with heart failure on a strict schedule may not be appropriate because it may not allow the infant to consume adequate calories and nutrients when needed. Infants with heart failure may tire easily during feeding, so they may require more frequent, smaller feedings to ensure adequate intake.

B. "I will add Polycose to each of my baby's bottles": Polycose is a carbohydrate supplement sometimes used to increase the calorie content of infant formula or breast milk. However, adding it to every bottle without guidance from a healthcare provider may not be necessary or appropriate. The decision to use Polycose should be based on the infant's specific nutritional needs and should be directed by the healthcare team.

C. "I will allow my baby to take as much time as needed to finish the bottle": This statement indicates an understanding that infants with heart failure may have difficulty feeding due to fatigue or respiratory distress. Allowing the baby to take as much time as needed to finish the bottle ensures that they can consume an adequate amount of milk without becoming exhausted.

D. "I will limit my baby's crying to 15 minutes prior to each feeding": Limiting the baby's crying before feeding is not directly related to meeting the infant's nutritional needs. While minimizing stress and agitation before feeding can be beneficial, setting a specific time limit on crying may not always be practical or effective.

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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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Explanation

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Correct Answer is C

Explanation

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