A nurse is performing a nursing assessment of a child with croup.
What should the nurse assess to determine the severity of respiratory distress?

The child's height and weight.

The child's vaccination history.

The degree of airway obstruction.

The child's social activities.

Answer and Explanation

The Correct Answer is C

The nurse should assess the degree of airway obstruction to determine the severity of respiratory distress.

Choice A rationale:

Assessing the child's height and weight is important for overall health assessment but does not specifically determine the severity of respiratory distress in croup.

Respiratory distress is primarily evaluated by assessing airway patency, effort of breathing, and oxygenation.

Choice B rationale:

The child's vaccination history is crucial for preventing certain infectious diseases, but it does not directly assess the severity of respiratory distress in croup.

Croup is commonly caused by viral infections such as parainfluenza viruses.

Choice C rationale:

Assessing the degree of airway obstruction is essential in determining the severity of respiratory distress in croup.

Children with croup often present with stridor, a high-pitched sound heard during inspiration, indicating partial airway obstruction.

The severity of stridor, along with signs of increased work of breathing, provides valuable information about the child's respiratory status.

Choice D rationale:

The child's social activities are not directly related to the assessment of respiratory distress in croup.

While social history is important in a comprehensive nursing assessment, it does not provide specific information about the severity of airway obstruction in croup.

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

Explanation

Choice A rationale:

There is no vaccine to prevent croup, but practicing good hand hygiene and avoiding contact with sick people can help reduce the child's risk of getting croup.

Croup is mainly caused by viral infections, so minimizing exposure to viruses is essential in prevention.

Choice B rationale:

Giving a daily dose of vitamin C is not a proven method for preventing croup.

While vitamin C is essential for overall health, it does not specifically prevent croup.

Providing accurate and evidence-based information is crucial in parental education.

Choice C rationale:

Keeping the child's bedroom cool and humid may provide comfort during the illness, but it is not a proven method for preventing croup.

This statement does not contribute significantly to preventive measures against croup.

Choice D rationale:

Using a humidifier in the home can help maintain adequate humidity levels, which may reduce the risk of croup, especially during dry seasons.

Proper humidity can prevent irritation of the upper respiratory tract and decrease the likelihood of developing croup.

Including this information in the teaching is appropriate and beneficial for the parent to know.

A. Administer oxygen therapy as needed. B. Position the child upright to facilitate breathing. C. Provide humidified air to help loosen secretions. D. Encourage the child to drink plenty of fluids to prevent dehydration. E. Monitor the child's respiratory status closely.

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

Explanation

Choice A rationale:

Administering oxygen therapy is essential in cases of severe croup where the child has difficulty breathing.

Oxygen therapy helps ensure adequate oxygenation, which is crucial in managing respiratory distress.

Choice B rationale:

Positioning the child upright facilitates breathing by allowing the airways to remain open and reducing airway obstruction.

This position helps alleviate symptoms like stridor and allows the child to breathe more comfortably.

Choice C rationale:

Providing humidified air helps loosen secretions and makes it easier for the child to breathe.

Humidification can reduce airway irritation and soothe the inflamed throat, providing relief from croup symptoms.

Choice D rationale:

This choice is incorrect because encouraging the child to drink plenty of fluids is generally good advice for any illness but is not specific to croup.

While it is essential to keep the child hydrated, it is not a direct nursing intervention for managing croup symptoms.

Choice E rationale:

Monitoring the child's respiratory status closely is crucial in assessing the effectiveness of the interventions and identifying any signs of respiratory distress.

Close monitoring allows nurses to make timely decisions and take appropriate actions to maintain the child's respiratory function.

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A nurse is performing a nursing assessment of a child with croup.What should the nurse assess to determine the severity of respiratory distress?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

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

Explanation

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

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

Explanation

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.

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?

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 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.

A nurse is performing a nursing assessment of a child with croup.What should the nurse assess to determine the severity of respiratory distress?

A nurse is performing a nursing assessment of a child with croup.
What should the nurse assess to determine the severity of respiratory distress?