ATI RN
RN ATI Pediatric Nursing 2023 with NGN Questions
Extract:
A nurse is caring for a 3-year-old child. Nurse's Notes: 0730: Child presents to the emergency department (ED). Guardians report the child woke up coughing with a low-grade fever. Child appears alert and restless in guardian's arms. Respirations easy, no cough noted. 0800: Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking, nonproductive cough present. Vital Signs: 0730: Tympanic Temperature: 38.1°C (100.6° F). Heart Rate: 95/min. Respiratory Rate: 20/min. Oxygen Saturation: 98% on room air. 0800: Tympanic Temperature: 38.2°C (100.1°F). Heart Rate: 112/min. Respiratory Rate: 24/min. Oxygen Saturation: 96% on room air.
Question 1 of 5
The nurse is planning care for the client. For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia.
| Assessment finding | Acute Laryngotracheobronchitis | Pneumonia |
|---|---|---|
| Irritability | ||
| Cough (barking at times) | ||
| Stridor | ||
| Temperature |
Correct Answer: A,B,C
Rationale:
To determine if the finding is consistent with acute laryngotracheobronchitis or pneumonia, we need to consider the characteristic symptoms of each condition.
A: Irritability is a common symptom seen in both conditions due to respiratory distress.
B: Cough is specific to acute laryngotracheobronchitis, known as croup.
C: Stridor, a high-pitched sound on inspiration, is a hallmark of acute laryngotracheobronchitis.
D: Temperature is a non-specific symptom and can be present in both conditions.
Therefore, the correct answer is A, B, C as irritability, cough , and stridor are more indicative of acute laryngotracheobronchitis compared to pneumonia.
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Question 2 of 5
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Question 5 of 5
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