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 D

Explanation

The nurse should instruct the parents to wash the child's bed linens and clothing in hot soapy water to kill any remaining head lice and prevent reinfestation. The child's brushes, combs, and other hair accessories should also be washed in hot soapy water or disposed of. Taking the child to a hair salon for a shampoo and a shorter haircut is not necessary for treatment of head lice. Rewashing the child's hair following a 24-hour isolation period is not necessary if the permethrin shampoo has been used as directed.

A. Rebound tenderness in the left lower abdominal quadrant. B. Stool that consists of mucus and blood. C. Olive-size mass in the epigastric area. D. Frequent burping accompanied by poor feeding.

Correct Answer is C

Explanation

In a 5-week-old infant presenting with a history of projectile vomiting after feedings, the nurse should expect to assess an olive-size mass in the epigastric area. This finding is consistent with pyloric stenosis, a condition in which the muscle at the bottom of the stomach that controls the ﬂow of food into the small intestine becomes thickened and narrowed.

Rebound tenderness in the left lower abdominal quadrant, stool that consists of mucus and blood, and frequent burping accompanied by poor feeding are not typically associated with pyloric stenosis.

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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?

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Naxlex Comprehensive Predictor Exams

A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice. The nurse washes the child's hair with permethrin shampoo and calls his parents. Which instruction should the nurse provide to the parents about treatment for head lice?

Correct Answer is D

Explanation

The nurse is caring for a 5-week-old infant presenting with a history of projectile vomiting after feedings. Which additional finding should the nurse expect to assess?

Correct Answer is C

Explanation

The nurse begins collecting the medical history of a child when the child screams and tries to hide behind the parent, dropping a stuﬀed toy. Which intervention should the nurse implement?

The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?

When providing care for a child in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?

A 7-year-old child is admited to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?

The parent of an infant asks when the baby's first immunization for measles, mumps, and rubella (MMR) should be given. Which age should the nurse provide the parent?

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

The nurse is providing nutrition education to the parents of an infant with failure to thrive (FTT). Which statement made by the parent should the nurse recognize as an appropriate understanding of interventions?