Difficulty: Medium
Average Score: 68%
Simulated
Passage / Scenario
Nurse Notes: 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, non-productive 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 (100.6 F), Heart rate 95/min, Respiratory rate 20/min, Oxygen saturation 96% on room air. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever.For each of the flowing findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia.
Correct answer
A,B,C,D
Rationale
The correct answer includes irritability, cough findings at 0800, stridor, and temperature.
- Irritability is consistent with both acute laryngotracheobronchitis and pneumonia due to respiratory distress.
- Cough findings at 0800 are common in both conditions, as cough is a primary symptom.
- Stridor is characteristic of acute laryngotracheobronchitis, caused by inflammation of the upper airway.
- Monitoring temperature is crucial for pneumonia due to potential fever, while it may not be as prominent in acute laryngotracheobronchitis.
Other choices are not included in the correct answer as they are not as specific or indicative of the two conditions.
- Irritability is consistent with both acute laryngotracheobronchitis and pneumonia due to respiratory distress.
- Cough findings at 0800 are common in both conditions, as cough is a primary symptom.
- Stridor is characteristic of acute laryngotracheobronchitis, caused by inflammation of the upper airway.
- Monitoring temperature is crucial for pneumonia due to potential fever, while it may not be as prominent in acute laryngotracheobronchitis.
Other choices are not included in the correct answer as they are not as specific or indicative of the two conditions.