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 A

Explanation

The adolescent client's symptoms of localized pain, swelling, and tenderness, particularly at night, are suggestive of a malignancy such as osteosarcoma, which is the most common primary bone tumor in children and adolescents.

Radial ossification in the soft tissues is a characteristic finding in osteosarcoma and is indicative of bone production by malignant cells. Other imaging modalities, such as X-rays, computed tomography (CT), and magnetic resonance imaging (MRI), may also reveal osteolytic or osteoblastic lesions in the bone.

Growing pains are a common, benign condition that occur in children and do not typically present with the

symptoms described in the case scenario.

Rhabdomyolysis is a medical emergency that involves the breakdown of skeletal muscle tissue and release of muscle fiber contents into the bloodstream. It can present with muscle pain, swelling, and tenderness, but typically occurs as a result of injury, infection, or drug toxicity.

Hemosiderosis is a rare condition characterized by the accumulation of iron in various tissues, including the liver, spleen, and bone marrow. It may present with symptoms such as fatigue, joint pain, and abdominal pain, but is not typically associated with the symptoms and imaging findings described in the case scenario.

Therefore, the nurse should consider osteosarcoma as the probable cause of the adolescent client's symptoms and imaging findings, and should collaborate with the healthcare team to develop a plan of care for diagnosis and treatment.

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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

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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