This topic contains a solution. Click here to go to the answer

Author Question: A 3-year-old child woke up in the middle of the night with a croupy cough and inspiratory stridor. ... (Read 92 times)

jace

  • Hero Member
  • *****
  • Posts: 541
A 3-year-old child woke up in the middle of the night with a croupy cough and inspiratory stridor. The parents bring the child to the emergency department, but by the time they arrive, the cough is gone, and the stridor has resolved.
 
  What can the nurse teach the parents with regard to this type of croup?
  a. A bath in tepid water can help resolve this type of croup.
  b. Tylenol can help to relieve the cough and stridor.
  c. A cool mist vaporizer at the bedside can help prevent this type of croup.
  d. Antibiotics need to be given to reduce the inflammation.

Question 2

A 3-year-old is brought to the emergency department with symptoms of stridor, fever, restlessness, and drooling. No coughing is observed. Based on these findings, the nurse should be prepared to assist with what action?
 
  a. Throat culture
  b. Nasal pharynx washing
  c. Administration of corticosteroids
  d. Emergency intubation



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

kaylee05

  • Sr. Member
  • ****
  • Posts: 318
Answer to Question 1

ANS: C
Acute spasmodic laryngitis (spasmodic croup, midnight croup, or twilight croup) is distinct from laryngitis and LTB and characterized by paroxysmal attacks of laryngeal obstruction that occur chiefly at night. The child goes to bed well or with some mild respiratory symptoms but awakens suddenly with characteristic barking; a metallic cough; hoarseness; noisy inspirations; and restlessness. However, there is no fever, and the episode subsides in a few hours. Children with spasmodic croup are managed at home. Cool mist is recommended for the child's room. A tepid water bath will not help, but steam provided by hot water may relieve the laryngeal spasm. The child will not need Tylenol, and antibiotics are not given for this type of croup.

Answer to Question 2

ANS: D
Three clinical observations that are predictive of epiglottitis are absence of spontaneous cough, presence of drooling, and agitation. Nasotracheal intubation or tracheostomy is usually considered for a child with epiglottitis with severe respiratory distress. The throat should not be inspected because airway obstruction can occur, and steroids would not be done first when the child is in severe respiratory distress.




jace

  • Member
  • Posts: 541
Reply 2 on: Jun 28, 2018
:D TYSM


triiciiaa

  • Member
  • Posts: 349
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

There are more sensory neurons in the tongue than in any other part of the body.

Did you know?

The newest statin drug, rosuvastatin, has been called a superstatin because it appears to reduce LDL cholesterol to a greater degree than the other approved statin drugs.

Did you know?

Asthma-like symptoms were first recorded about 3,500 years ago in Egypt. The first manuscript specifically written about asthma was in the year 1190, describing a condition characterized by sudden breathlessness. The treatments listed in this manuscript include chicken soup, herbs, and sexual abstinence.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

The top five reasons that children stay home from school are as follows: colds, stomach flu (gastroenteritis), ear infection (otitis media), pink eye (conjunctivitis), and sore throat.

For a complete list of videos, visit our video library