Author Question: A 3-year-old child is experiencing localized wheezing upon auscultation. Which statement by the ... (Read 52 times)

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

A 3-year-old child is experiencing localized wheezing upon auscultation. Which statement by the mother would be most important for the nurse to report to the health care provider?

A) The child was eating peanuts earlier in the day.
B) The child eats hard candy as an afternoon treat.
C) The child has two cousins who have many allergies.
D) The child likes to play by himself for 15 minutes every afternoon.

Question 2

A mother brings her 6-year-old son in for a check-up because the child is complaining of stomachaches. It is the beginning of the school year. Which of the following might the mother also mention?

A) The child cries before going to school.
B) The child made friends the first day of school.
C) The child fights with siblings more often.
D) The child loves the crowds in the lunchroom.

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

Answer to Question 1

A
Feedback:
The child is demonstrating signs of bronchial obstruction. After aspirating a small foreign body, the child generally coughs violently and may become short of breath. Localized wheezing may occur. Because this is localized, it is different from the generalized wheezing of a child with asthma. Hard tack candy is usually larger in size than a peanut. Localized wheezing is not a manifestation of allergies. Solitary play may or may not be important. It depends on the size of the toys that the child has for play and if any could be accidentally aspirated.

Answer to Question 2

A
Feedback:
This child has a slow-to-warm-up temperament. The child may also be crying before going to school. Making friends the first day of school and enjoying the crowds in the lunchroom are typical of a child with an easy temperament. Irritability is typical of a child with a difficult temperament.