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 ["B","D","E"]
Explanation
A. Accordion-style gates can pose a strangulation hazard and should not be used.
B. The mattress should fit snugly against the sides of the crib to prevent the infant from becoming trapped between the mattress and crib sides.
C. The water heater should be set to no higher than 49°C (120°F) to prevent scalding injuries.
D. Tying plastic bags in knots before discarding them can help prevent suffocation hazards.
E. Serving food in small, non-circular pieces reduces the risk of choking in infants.
Correct Answer is A
Explanation
A. Notifying the doctor if the pulse oximeter consistently reads 100% is unnecessary. An oxygen saturation of 100% can be normal for some infants, but the need for concern arises if there are other signs of distress or if the prescribed oxygen level is different.
B. The probe can be applied to a finger or a toe, which is appropriate for monitoring oxygen saturation.
C. Excessive movement can indeed affect the accuracy of the pulse oximeter readings, which is an important point to understand.
D. Rotating the probe every 24 hours is necessary to prevent skin irritation and pressure sores.
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