A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?
Decreased stridor
Improved hydration
Decreased temperature
Barking cough
The Correct Answer is A
A. Decreased stridor indicates that the airway obstruction is improving, which is a primary goal of treatment for laryngotracheobronchitis.
B. While improved hydration is important, it does not directly measure the effectiveness of the cool mist tent treatment.
C. Decreased temperature can occur for various reasons and is not specific to the treatment of laryngotracheobronchitis.
D. A barking cough is a symptom of laryngotracheobronchitis and its persistence would not indicate improvement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. By 10 months, an infant should be able to sit steadily without support. This milestone is essential for proper development, and the inability to do so may indicate developmental delays or underlying neurological issues.
B. Building a tower of three or four cubes is a skill typically expected at 18 months, so it is not a concern for a 10-month-old infant.
C. Turning pages in a book is a fine motor skill usually developed around 12-18 months, so it is not expected for a 10-month-old infant.
D. Imitating animal sounds is a language skill that develops around 12-18 months, so it is not expected for a 10-month-old infant.
Correct Answer is A
Explanation
A. Withholding fluids until the client demonstrates a gag reflex ensures that the airway is protected and reduces the risk of aspiration.
B. While a humidifier can help keep the throat moist, it does not directly prevent aspiration.
C. Chest physiotherapy is not necessary for preventing aspiration in this scenario.
D. Suctioning the nasopharynx is useful if needed but is not the primary action to prevent aspiration.
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