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

Administer oxygen therapy as needed.

Position the child upright to facilitate breathing.

Provide humidified air to help loosen secretions.

Encourage the child to drink plenty of fluids to prevent dehydration.

Monitor the child's respiratory status closely.

Answer and Explanation

Correct Answer : A,B,C,E

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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Correct Answer is C

Explanation

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.

A. "Croup is a common viral infection of the upper respiratory tract that causes inflammation of the larynx.”.. B. "Croup is most common in children under the age of 3.”.. C. "The symptoms of croup usually appear at night.”.. D. "The classic croup cough is described as a barking cough.”.. E. "Croup can be treated with over-the-counter medications, such as cough syrup and expectorants.”..

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.

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

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

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.

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

Explanation

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.

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 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 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 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?

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