Author Question: A nurse is planning care for a child with laryngomalacia. Which symptom should the nurse plan to ... (Read 60 times)

urbanoutfitters · **on:** Jun 27, 2018

A nurse is planning care for a child with laryngomalacia. Which symptom should the nurse plan to assess that is characteristic of laryngomalacia?

a. Stridor
b. High-pitched cry
c. Nasal congestion
d. Irritability

Question 2

Which statement made by a parent indicates understanding about treatment of streptococcal pharyngitis?

a. I guess my child will need to have his tonsils removed..
b. A couple of days of rest and some ibuprofen will take care of this..
c. I should give the penicillin three times a day for 10 days..
d. I am giving my child prednisone to decrease the swelling of the tonsils..

jessofishing · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Stridor is usually present at birth but may begin as late as 2 months. Symptoms increase when the infant is supine or crying. High-pitched cries are consistent with neurological abnormalities and are not usually respiratory in nature. Nasal congestion is nonspecific in relation to laryngomalacia. Irritability often occurs with respiratory illnesses; however, it is not the most characteristic symptom of laryngomalacia.

Answer to Question 2

C
Streptococcal pharyngitis is best treated with oral penicillin two to three times daily for 10 days. Surgical removal of the tonsils is a controversial issue. It may be warranted in cases of recurrent tonsillitis. It is not indicated for the treatment of acute tonsillitis. Comfort measures such as rest and analgesics are indicated, but these will not treat the bacterial infection. Corticosteroids are not used in the treatment of streptococcal pharyngitis.