Which measure would be most effective in aiding bronchodilation in a child with laryngotracheobronchitis (Croup)?
Offer the child oral fluids
Administering an oral analgesic
Assisting with racemic epinephrine nebulizer therapy
Teach the child to take long, slow breaths
The Correct Answer is C
A. Offering oral fluids can help keep the child hydrated but does not directly aid in bronchodilation.
B. Oral analgesics may help with pain but do not address airway obstruction or inflammation.
C. Racemic epinephrine nebulizer therapy is effective in reducing airway swelling and providing bronchodilation, improving breathing in croup.
D. Teaching the child to take long, slow breaths can help with calmness but is not as effective in acute bronchodilation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Obtaining a detailed history is a critical first step to understand the context of the injuries, which may then lead to further actions based on the findings.
B. Asking a psychiatrist to talk with the parents might be helpful, but it is not the first step in managing suspected abuse.
C. Reporting suspected abuse to the authorities is a mandatory action for healthcare providers in cases where child abuse is suspected. However, it should be done after taking a detailed history to understand the context of the injuries.
D. Separating the child from the parents may be necessary in some cases but should be done under the guidance of authorities to ensure proper procedure and safety.
Correct Answer is B
Explanation
A. Croup typically presents with a barking cough, stridor, and hoarseness.
B. Bronchiolitis is commonly caused by RSV and presents with symptoms such as sneezing, coughing, nasal congestion, intermittent fever, and apneic spells in infants.
C. Influenza often includes high fever, body aches, and cough, but not typically apneic spells in infants.
D. Epiglottitis is characterized by sudden onset of fever, sore throat, dysphagia, and drooling, and is a medical emergency.
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