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 would indicate that the treatment has been effective?

Decreased stridor

Decreased temperature

Barking cough

Improved hydration

Answer and Explanation

The Correct Answer is A

Choice A rationale

Acute laryngotracheobronchitis, also known as croup, is a common childhood condition that is usually caused by a viral infection. The main symptom is a distinctive barking cough. A cool mist tent can help to soothe the inflamed airways and reduce stridor, which is a high-pitched,

wheezing sound caused by disrupted airflow. Therefore, decreased stridor would indicate that the treatment has been effective.

Choice B rationale

While a decreased temperature might indicate a resolution of any underlying infection, it is not directly related to the effectiveness of a cool mist tent in treating acute laryngotracheobronchitis.

Choice C rationale

A barking cough is a symptom of acute laryngotracheobronchitis and does not indicate treatment effectiveness.

Choice D rationale

Improved hydration is important but is not a direct indicator of the effectiveness of the cool mist tent.

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Correct Answer is A

Explanation

Choice A rationale

A negative rubella titer indicates that the patient does not have immunity to the rubella virus. Therefore, the patient would need a rubella vaccination after delivery to prevent future infection.

Choice B rationale

A negative rubella titer does not necessarily mean that the patient is not currently infected with rubella. It simply means that the patient does not have immunity to the virus.

Choice C rationale

A negative rubella titer indicates that the patient is not immune to the rubella virus, not that they are immune.

Choice D rationale

While the patient does need a rubella vaccination, it is not typically given during pregnancy due to the theoretical risk to the fetus. Instead, it is usually given after delivery.

A. I will call the doctor and get a prescription. B. I will cover the catheter so he can’t see it. C. Let’s wait until tonight to see if he continues this behavior. D. I will apply the restraints immediately.

Correct Answer is B

Explanation

Choice A rationale

While it is within the nurse’s scope of practice to communicate with the doctor regarding the patient’s condition, applying restraints should not be the first course of action when a patient frequently tries to remove their IV catheter. Restraints should only be used as a last resort when all other interventions have failed and the patient’s safety is at risk.

Choice B rationale

This is the correct response. Covering the catheter so the patient can’t see it may help to reduce the patient’s urge to remove it. This is a non-invasive intervention that respects the patient’s autonomy while also ensuring their safety.

Choice C rationale

Waiting until nighttime to see if the patient continues the behavior may not be the best course of action. If the patient is frequently trying to remove their IV catheter, it is important to address the issue promptly to prevent potential harm.

Choice D rationale

Applying restraints immediately is not the best course of action. Restraints should only be used as a last resort when all other interventions have failed and the patient’s safety is at risk.

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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 would indicate that the treatment has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an antepartum patient whose lab results show a negative rubella titer. What does this data mean?

Correct Answer is A

Explanation

A nurse is caring for a patient who frequently tries to remove his IV catheter. A family member asks the nurse to apply restraints.What should the nurse’s response be?

Correct Answer is B

Explanation

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