A child has a diagnosis of croup (laryngotracheobronchitis). He ...

[Collmarie]

A child has a diagnosis of croup (laryngotracheobronc hitis). He has received a corticosteroid and cool mist therapy. His caregiver asks the nurse why the doctor did not order antibiotics. The MOST appropriate response is:
 
  a. the child is too young to receive antibiotics
  b. the child may be allergic to antibiotics so the risks outweigh the benefit.
  c. most antibiotics are used for bacterial germs and his type of croup is due to a virus.
  d. the doctor would rather wait and see if he can get better without them.

Question 2

Cystic fibrosis is suspected in a child with frequent respiratory infections and failure to thrive. The nurse would expect which of the following tests ordered to make a definite diagnosis?
 
  a. electrolytes and CBC c. chest X-ray
  b. sweat chloride test d. endoscopy

[cupcake16]

Answer to Question 1

C
Laryngotracheobronc hitis (croup) is a viral illness that causes narrowing of the upper airway. Symptoms include inspiratory stridor, a barking cough, and hoarseness. The child may have a persistent low-grade fever and a history of profuse nasal drainage with increased respiratory effort for several days.

Answer to Question 2

B
Cystic fibrosis is a major dysfunction of all exocrine glands that affects the lungs, pancreas, liver, and reproductive organs. The disorder is characterized by an increased viscosity of mucus, elevated sweat electrolytes, and increased enzymatic constituents in the saliva. Both parents must be carriers of the disease to pass it on to their child. The client has a chronic moist, productive cough, and frequent infections. The infant's skin tastes salty. Diagnosis is made with the sweat test.