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?
Improved hydration
Decreased temperature
Decreased stridor
Barking cough
The Correct Answer is C
Choice A reason: Improved hydration is not a specific indicator of the effectiveness of the treatment for acute laryngotracheobronchitis. Hydration status should be monitored for any child with a respiratory infection, but it does not reflect the severity of the airway inflammation.
Choice B reason: Decreased temperature is not a specific indicator of the effectiveness of the treatment for acute laryngotracheobronchitis. Fever may or may not be present in this condition, and it does not correlate with the degree of airway obstruction.
Choice C reason: Decreased stridor is a specific indicator of the effectiveness of the treatment for acute laryngotracheobronchitis. Stridor is a high-pitched sound caused by turbulent airflow through a narrowed upper airway. It indicates a significant obstruction that can compromise breathing. A reduction in stridor means that the airway inflammation has subsided and the child can breathe more easily.
Choice D reason: Barking cough is not a specific indicator of the effectiveness of the treatment for acute laryngotracheobronchitis. Barking cough is a characteristic symptom of this condition, caused by the swelling of the vocal cords. It may persist for several days after the acute episode, even when the child is improving.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Offering the child clear liquids for the first 24 hours is not necessary, as the child can resume a normal diet after the procedure. Clear liquids are only recommended for the first few hours after the procedure to prevent nausea and vomiting.
Choice B reason: Assisting the child to take a tub bath for the first 3 days is not advised, as it can increase the risk of infection and bleeding at the catheter insertion site. The child should avoid tub baths, swimming, and soaking the site until it is completely healed, which may take up to a week.
Choice C reason: Giving the child acetaminophen for discomfort is appropriate, as it can relieve the pain and soreness at the catheter insertion site. The child should avoid aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), as they can increase the risk of bleeding.
Choice D reason: Keeping the child home for 1 week is not required, as the child can resume normal activities within a few days after the procedure. The child should avoid strenuous activities, such as running, jumping, and biking, for at least 24 hours after the procedure.
Correct Answer is A
Explanation
Choice A reason: Intravenous immunoglobulin is a likely prescription, as it is used to treat Kawasaki disease, which is a rare but serious condition that causes inflammation of the blood vessels in children. The toddler has many signs and symptoms of Kawasaki disease, such as high fever, irritability, red eyes, dry lips, strawberry tongue, swollen hands and feet, rash, and enlarged lymph node. Intravenous immunoglobulin can reduce the risk of complications, such as coronary artery aneurysms, which can be life-threatening.
Choice B reason: Oral acyclovir is not a probable prescription, as it is used to treat viral infections, such as herpes simplex or varicella zoster, which are not the main problems of the toddler. The toddler has no evidence of a viral infection, such as blisters, vesicles, or crusts.
Choice C reason: Intramuscular penicillin is not a likely prescription, as it is used to treat bacterial infections, such as streptococcal pharyngitis or syphilis, which are not the main problems of the toddler. The toddler has no signs of a bacterial infection, such as purulent discharge, foul odor, or localized inflammation.
Choice D reason: Topical hydrocortisone is not a helpful prescription, as it is used to treat skin conditions, such as eczema or dermatitis, which are not the main problems of the toddler. The toddler has a rash that is caused by the inflammation of the blood vessels, not by an allergic or irritant reaction. Topical hydrocortisone may also worsen the rash or cause skin thinning or infection.
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