When advising a new mother on caring for a child with croup, which symptom should be a priority concern for the telephone triage nurse?

Fever of 101.0°F (38.3°C)

Cries often when nursing

Difficulty swallowing secretions.

Barking cough, worse at night

Answer and Explanation

The Correct Answer is C

When advising a new mother on caring for a child with croup, the telephone triage nurse should prioritize concern for difficulty swallowing secretions. This symptom can indicate that the child's airway is becoming obstructed and requires immediate medical attention. A fever of 101.0°F (38.3°C) is a common symptom of croup and can be managed at home with antipyretics. Crying often when nursing is not a specific symptom of croup and may have other causes. A barking cough, worse at night, is a characteristic symptom of croup and can be managed at home with humidified air and hydration.

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Correct Answer is C

Explanation

Administer the injection into the middle of the lateral aspect of the thigh is the correct choice. This is the recommended site for intramuscular injection in toddlers who have been walking for at least one month, as it is a large muscle with minimal nerves and blood vessels. Choices A, B, and D are not appropriate techniques for administering an intramuscular injection to a toddler with pneumonia.

A. Ibuprofen should be used prophylactically to prevent febrile seizures. B. Provide the child with a sponge bath for temperatures over 100.6°F (38.1° C. Reassure the parents that febrile seizures decrease as the child grows older. D. Avoid excessive visual stimuli because it can precipitate seizure activity.

Correct Answer is C

Explanation

The nurse should reassure the parents that febrile seizures typically decrease in frequency as the child grows older. Most children outgrow febrile seizures by the age of 5 years.

Ibuprofen is not typically used prophylactically to prevent febrile seizures.

Providing the child with a sponge bath for temperatures over 100.6°F (38.1° C) can help to lower the fever, but it will not necessarily prevent febrile seizures.

Avoiding excessive visual stimuli is not necessary for children with febrile seizures, as this type of seizure is triggered by a fever rather than visual stimuli.

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When advising a new mother on caring for a child with croup, which symptom should be a priority concern for the telephone triage nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The toddler does not have any known allergies and has been walking without assistance for one month. Which technique should the nurse select for administration?

Correct Answer is C

Explanation

The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the nurse that they fear their child will have lifelong seizures. Which information should the nurse convey to these parents?

Correct Answer is C

Explanation

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