Question

A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following finding indicates that the treatment has been effective?

Answer 1

Correct Answers:

Decreased stridor

Rationale :

🌬️ Decreased stridor indicates improved airway patency, which is the goal of cool mist therapy in laryngotracheobronchitis (croup).

🌬️ Stridor is a high-pitched sound caused by upper airway obstruction; reduction in stridor means the child’s airway is less inflamed.

💨 Barking cough is a characteristic symptom of croup and does not indicate improvement.

💧 Improved hydration is important but is not directly related to the effectiveness of cool mist therapy.

🌡️ Decreased temperature could occur with treatment but is not the primary indicator of effective therapy.

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Answer 2

Correct Answers:

Auscultating the rate and characteristics of the child's heart sounds

Rationale :

❤️ Acute rheumatic fever often leads to heart involvement, especially mitral valve regurgitation or endocarditis, so auscultation of heart sounds is critical.

❤️ Heart murmurs or irregular heart rhythms could indicate cardiac complications, which need immediate attention.

❤️While assessing parental anxiety and joint pain is important, they are not as immediately life-threatening as potential heart issues in rheumatic fever.

❤️ Erythematous rash is associated with rheumatic fever, but it does not require immediate attention over potential cardiac issues.

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Answer 3

Correct Answers:

Increased crying episodes

Rationale :

😢 Increased crying episodes in a 6-month-old infant can indicate pain or discomfort, especially after a procedure.

😢 Infants cannot express pain verbally, so changes in behavior like crying are critical indicators of distress.

😢 Decreased heart rate or decreased respiratory rate are not typical signs of pain, and may indicate sedation or other factors.

😢 Increased formula consumption is usually a sign of hunger, not pain.

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Answer 4

Correct Answers:

Place the child in an upright position.

Rationale :

🫁 For children with epiglottitis, the priority is airway management.

🫁Placing the child in an upright position helps reduce airway obstruction and facilitates breathing.

🫁 Obtaining a throat culture or visualizing the epiglottis with a tongue depressor can worsen airway obstruction and should be avoided.

🫁 Transporting the child for a radiology exam can cause stress and delayed intervention for the airway.

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Answer 5

Correct Answers:

Large building blocks

Rationale :

🧩 At 12 months, toddlers are in the sensorimotor stage of development and are just beginning to manipulate objects and explore cause-and-effect relationships.

🧩 Large building blocks are perfect for this developmental stage, as they help toddlers develop fine motor skills and hand-eye coordination.

🧩 Stacking blocks and arranging them also help toddlers practice problem-solving and improve their grip and dexterity.

🧩 Crayons and coloring books are suitable for older children, typically starting around 18 months to 2 years, when they begin showing more interest in drawing and scribbling.

🧩 Modeling clay can be a choking hazard and is not appropriate for a 12-month-old because of the risk of swallowing small pieces or putting it in their mouth.

🧩 Hanging crib toys are more for infants younger than 12 months, as toddlers are more interested in active play and exploration.

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Answer 6

Correct Answers:

Respiratory rate of 74 breaths per

Rationale :

💨 A respiratory rate of 74 breaths/min in an infant is markedly elevated and indicative of severe respiratory distress or impending respiratory failure.

💨 In bronchiolitis, high respiratory rates can impair oxygenation and increase the risk of fatigue and apnea.

💨 This rate may result in inadequate ventilation, especially in infants who have smaller airways and limited respiratory reserves.

💨 Immediate intervention is required to prevent hypoxia, and the provider must be notified without delay.

💨 Normal respiratory rate for infants is approximately 30–60 breaths/min, making 74 clinically significant.

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Answer 7

Correct Answers:

Physical activity

Rationale :

🏃 While physical activity may trigger asthma symptoms, it is not considered a risk factor for developing asthma.

🏃 Risk factors include genetic predisposition (family history), allergies (especially environmental and food allergens), and exposure to environmental irritants like secondhand smoke.

🏃 Children with asthma should be encouraged to participate in physical activity with appropriate management plans in place (e.g., using inhalers before exercise).

🏃 Identifying actual causal or exacerbating factors is critical in reducing morbidity and improving quality of life.

🏃 Avoiding physical activity unnecessarily can lead to poor fitness, weight gain, and social limitations.

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Answer 8

Correct Answers:

Keep thermometer in the toddler's room-

Rationale :

🧼 Respiratory syncytial virus (RSV) requires contact precautions, not airborne. Personal equipment like thermometers should be dedicated to the room to prevent cross-contamination.

🧼 Keeping a thermometer in the room prevents the spread of infection to other patients by avoiding equipment sharing.

🧼 RSV is highly contagious via direct contact, including contaminated surfaces and hands, so isolating reusable items is a standard practice.

🧼 Initiating airborne precautions or placing in negative pressure rooms is not necessary unless there's co-infection with airborne pathogens.

🧼 Allowing the child in common play areas violates infection control protocols during active infection

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Answer 9

Correct Answers:

Patent ductus arteriosus

Rationale :

❤️ Patent ductus arteriosus (PDA) allows left-to-right shunting of blood, causing increased pulmonary blood flow.

❤️ This can lead to pulmonary hypertension, respiratory distress, and heart failure if not treated.

❤️ PDA is a connection between the aorta and pulmonary artery that fails to close after birth.

❤️ Infants may present with bounding pulses, a continuous murmur, and widened pulse pressure.

❤️ Unlike cyanotic heart defects such as Tetralogy of Fallot or Tricuspid atresia, PDA is acyanotic but causes volume overload in lungs.

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Answer 10

Correct Answers:

Give the child acetaminophen for discomfort.

Rationale :

🩹 After cardiac catheterization, mild discomfort at the insertion site is expected, and acetaminophen is safe and effective.

🩹 Tub baths are contraindicated for the first few days as they may increase risk for infection or bleeding at the insertion site.

🩹 Children can usually resume normal activity within 24 hours, so a full week at home is unnecessary unless complications arise.

🩹 There is no need to restrict intake to clear liquids unless otherwise ordered due to procedural sedation effects.

🩹 Parents should also be advised to monitor for signs of infection or bleeding, and ensure rest for 24 hours.

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QLexNursing

1 :
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following finding indicates that the treatment has been effective?

2 :
A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?

3 :
A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?

4 :
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

5 :
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client?

6 :
A nurse is taking vital signs on an infant diagnosed with bronchiolitis. Which of the following findings should the nurse immediately report to the provider?

7 :
Which of the following is not a risk factor of asthma in pediatric patients?

8 :
A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?

9 :
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?

10 :
A nurse is providing discharge instructions to the parent of a 10- year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?

QLexNursing

1 : A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following finding indicates that the treatment has been effective?

2 : A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?

3 : A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?

4 : A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

5 : A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client?

6 : A nurse is taking vital signs on an infant diagnosed with bronchiolitis. Which of the following findings should the nurse immediately report to the provider?

7 : Which of the following is not a risk factor of asthma in pediatric patients?

8 : A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?

9 : A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?

10 : A nurse is providing discharge instructions to the parent of a 10- year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?

1 :
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following finding indicates that the treatment has been effective?

2 :
A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?

3 :
A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?

4 :
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

5 :
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client?

6 :
A nurse is taking vital signs on an infant diagnosed with bronchiolitis. Which of the following findings should the nurse immediately report to the provider?

7 :
Which of the following is not a risk factor of asthma in pediatric patients?

8 :
A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?

9 :
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?

10 :
A nurse is providing discharge instructions to the parent of a 10- year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?