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.
"Croup is a common viral infection of the upper respiratory tract that causes inflammation of the larynx.”..
"Croup is most common in children under the age of 3.”..
"The symptoms of croup usually appear at night.”..
"The classic croup cough is described as a barking cough.”..
"Croup can be treated with over-the-counter medications, such as cough syrup and expectorants.”..
Correct Answer : A,D
Choice A rationale:
Croup is indeed a common viral infection of the upper respiratory tract that causes inflammation of the larynx.
This statement is accurate and important for the parent to understand the nature of the illness.
Choice B rationale:
Croup is most common in children under the age of 5, not just under the age of 3.
However, this statement is not entirely accurate, as older children can also be affected by croup.
It is essential to provide correct information to the parent.
Choice C rationale:
The symptoms of croup often worsen at night due to the natural narrowing of the airways during sleep, making breathing more difficult.
Therefore, this statement is correct and relevant to include in the teaching.
Choice D rationale:
The classic croup cough is indeed described as a barking cough, which results from the inflammation of the larynx and trachea.
This description helps the parent recognize a distinctive symptom of croup.
Including this information in the teaching is appropriate.
Choice E rationale:
Croup is primarily managed with supportive care, such as humidified air and nebulized medications.
Over-the-counter cough syrup and expectorants are not typically recommended for treating croup in children.
This statement is incorrect and should not be included in the teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
This statement does not indicate a complete understanding of croup.
Croup is not just a cold that affects the throat; it specifically involves inflammation of the upper airway.
Choice B rationale:
This statement acknowledges that croup can be serious but usually resolves on its own.
While this is true, it does not encompass the key symptoms and actions the parent should take if the child's condition worsens.
Choice C rationale:
This statement addresses general cold symptoms but does not specifically mention the characteristic symptoms of croup, such as barking cough, hoarseness, and stridor.
Choice D rationale:
This is The correct answer.
It shows an understanding of the symptoms of croup, particularly the mention of having trouble breathing, which is a sign of severe croup that requires medical attention.
Parents should seek emergency medical care if their child experiences difficulty breathing due to croup.
Providing this information demonstrates a comprehensive understanding of the condition.
Correct Answer is B
Explanation
Choice A rationale:
Placing the child on a ventilator might be necessary in severe cases of croup, but it should not be the first action taken.
In this scenario, the child has moderate croup, so less invasive interventions should be attempted first.
Choice B rationale:
Administering medication to help the child's cough and breathing is an appropriate first step in managing moderate croup.
Nebulized epinephrine or corticosteroids are commonly used to reduce airway inflammation and relieve respiratory distress in croup.
This intervention can be effective in improving the child's symptoms and overall condition.
Choice C rationale:
Transferring the child to the ICU for closer monitoring is not immediately necessary in this case of moderate croup.
Such a step might be considered if the child's condition worsens despite initial interventions or if there are signs of severe respiratory distress.
Choice D rationale:
Discharging the child home without appropriate treatment and monitoring would be unsafe, given the child's symptoms and oxygen saturation level.
Immediate intervention and observation are required to ensure the child's respiratory status improves.
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