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A nurse is educating parents of a child with croup about the signs and symptoms.
Which clinical manifestations should the nurse include in the teaching? Select all that apply.

High fever.

Inspiratory stridor.

Barking cough.

Wheezing.

Respiratory distress.

Answer and Explanation

Correct Answer : B,C,E

Choice A rationale:

High fever is not a typical symptom of croup.

Croup is often caused by viral infections, and high fever is more commonly associated with bacterial infections.

This choice is incorrect.

Choice B rationale:

Inspiratory stridor is a classic symptom of croup and is caused by the narrowing of the larynx and trachea, leading to a high-pitched sound during inspiration.

This choice is correct.

Choice C rationale:

A barking cough is a distinctive symptom of croup and is caused by inflammation of the larynx and trachea.

This choice is correct.

Choice D rationale:

Wheezing is not a typical symptom of croup.

Wheezing is more commonly associated with conditions like asthma, where there is narrowing of the smaller airways (bronchioles).

This choice is incorrect.

Choice E rationale:

Respiratory distress, indicated by increased work of breathing, is a common symptom of croup.

It can manifest as the use of accessory muscles, intercostal retractions, and nasal flaring.

This choice is correct.

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Correct Answer is ["A","B","C","D"]

Explanation

The correct answers are Choices A, B, C, and D.

Choice A rationale: Croup is typically caused by viral pathogens like parainfluenza, leading to inflammation of the larynx, trachea, and bronchi, resulting in airway narrowing and characteristic respiratory symptoms.

Choice B rationale: Croup most commonly affects children aged 6 months to 3 years due to their narrower airways and immature immune systems, making them more susceptible to upper airway obstruction.

Choice C rationale: Croup symptoms often worsen at night due to circadian variations in airway tone and increased mucus production, contributing to nocturnal stridor and respiratory distress.

Choice D rationale: The hallmark symptom of croup is a barking cough, resembling a seal’s bark, caused by turbulent airflow through an inflamed and narrowed upper airway, especially near the cricoid cartilage.

Choice E rationale: Over-the-counter cough syrups and expectorants are contraindicated in croup; they do not address airway inflammation and may worsen symptoms or delay appropriate treatment like corticosteroids or nebulized epinephrine.

A. The child's oxygen saturation is 95%. B. The child's respiratory rate is 30 breaths per minute. C. The child has mild retractions. D. The child is able to speak in complete sentences.

Correct Answer is B

Explanation

Choice A rationale:

An oxygen saturation level of 95% is within the normal range (normal range is typically 95-100%).

While it is essential to monitor oxygen saturation, this value does not indicate worsening of the child's condition.

Choice B rationale:

A respiratory rate of 30 breaths per minute is above the normal range for a child and can indicate respiratory distress.

An increased respiratory rate is a concerning sign, suggesting the child is having difficulty breathing.

This finding indicates the child's condition is worsening and requires prompt attention.

Choice C rationale:

Mild retractions suggest that the child is working harder to breathe but may not necessarily indicate a severe worsening of the condition.

Retractions are a sign of increased respiratory effort but may vary in severity.

Choice D rationale:

A child with croup experiencing severe respiratory distress may not be able to speak in complete sentences due to the difficulty in breathing.

However, the ability to speak in complete sentences alone may not be a definitive indicator of worsening.

Monitoring the respiratory rate and effort is crucial in assessing the child's condition accurately.

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A nurse is educating parents of a child with croup about the signs and symptoms.Which clinical manifestations should the nurse include in the teaching? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a parent about the signs and symptoms of croup. Which of the following statements should the nurse include in the teaching? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is caring for a child with croup in the hospital.The child is receiving humidified air and nebulized racemic epinephrine.The nurse monitors the child's respiratory status closely.Which of the following findings would indicate to the nurse that the child's condition is worsening?

Correct Answer is B

Explanation

A nurse is assessing a 2-year-old child with croup.The child's mother states that the child has had a barking cough for 2 days, which is worse at night.The child also has a fever and is hoarse.Which of the following statements by the nurse is most appropriate?

A nurse is educating parents of a child with croup about the signs and symptoms.Which clinical manifestations should the nurse include in the teaching? Select all that apply.

A nurse is educating a parent about the prevention of croup.Which of the following statements should the nurse include in the teaching?

Select all that apply.Which of the following are nursing interventions for a child with croup?

A nurse is caring for a child with croup.The child's respiratory status is worsening, and they are becoming increasingly agitated.What action should the nurse take?

A nurse is caring for a child with croup and needs to implement nursing interventions.What interventions are appropriate for a child with croup? Select all that apply.

A nurse is educating parents of a child with croup about the signs and symptoms.
Which clinical manifestations should the nurse include in the teaching? Select all that apply.