What distinguishing manifestation of spasmodic croup should parents be taught to identify?
The child has a high fever.
It has a harsh, barky cough.
It is bacterial in nature.
Wheezing is heard audibly.
The Correct Answer is B
The correct answer is choice B. It has a harsh, barky cough.
Choice A rationale:
Spasmodic croup is characterized by sudden-onset symptoms, including a barking cough, but it is not typically associated with a high fever. The barky cough is caused by inflammation and narrowing of the upper airways, leading to a distinct sound when the child coughs.
Choice B rationale:
A harsh, barky cough is a hallmark symptom of spasmodic croup. It is caused by the swelling of the vocal cords and the upper airway, resulting in the characteristic sound. This type of croup is often triggered by viral infections and is usually not bacterial in nature.
Choice C rationale:
Spasmodic croup is usually of viral origin rather than bacterial. Bacterial infections may lead to other respiratory conditions, but they are not a distinguishing feature of spasmodic croup.
Choice D rationale:
Wheezing is not a typical manifestation of spasmodic croup. Wheezing is often associated with lower airway conditions such as asthma, while croup primarily affects the upper airways and vocal cords, leading to the barking cough.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. A feeling of fullness in the ear.
Choice A rationale:
Nausea and vomiting are not typical symptoms of chronic otitis media with effusion (OME). OME involves fluid accumulation in the middle ear without signs of acute infection. It is commonly seen in children and may cause mild hearing impairment and a feeling of fullness in the ear.
Choice B rationale:
A feeling of fullness in the ear is a common symptom of OME. The fluid accumulation in the middle ear can lead to a sensation of pressure or fullness, as well as mild hearing loss. This can impact a child's ability to hear and communicate effectively.
Choice C rationale:
Severe pain in the ear is more characteristic of acute otitis media (AOM), which is an infection of the middle ear with signs of inflammation. In OME, pain is typically not a prominent symptom unless there is an underlying AOM episode.
Choice D rationale:
Fever as high as 40°C (104°F) is not a typical symptom of OME. OME is generally a chronic condition without acute signs of infection such as fever. However, if a fever is present, it might indicate a concurrent infection that needs further evaluation.
Correct Answer is B
Explanation
The correct answers are choices B. Administer Benadryl, and D. Apply a cool compress.
Choice A rationale:
Placing an ace wrap on the bite is not recommended for a brown recluse spider bite. This action could potentially worsen the situation as it might trap venom in the area and increase the risk of necrosis.
Choice B rationale:
Administering Benadryl is a suitable action for alleviating pain and managing allergic reactions related to the bite. Benadryl (diphenhydramine) is an antihistamine that can help reduce itching and inflammation.
Choice C rationale:
Elevating the affected area might not provide significant pain relief for a brown recluse spider bite. Elevating is generally more effective for reducing swelling associated with injuries involving fluid accumulation, like sprains or strains.
Choice D rationale:
Applying a cool compress to the bite area can help alleviate pain and reduce inflammation. Cold therapy constricts blood vessels, which can reduce swelling and numb the area, providing relief.
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