NCLEX croup RSV and epiglottitis study guide
Study guide for NCLEX exam covering croup, RSV, and epiglottitis with a focus on nursing priorities, safety, normal values, and essential nursing actions.
Quiz(32 preguntas)
1. Which virus is most commonly responsible for croup in children?
Términos en este set(32)
Croup and RSV Management(16)
Croup is primarily caused by which virus?
Parainfluenza virus is the most common cause of croup in children.
True or False: RSV only affects infants.
False. RSV can affect children of all ages, but is most severe in infants.
Identify key signs of croup.
- Barking cough - Stridor - Respiratory distress
What is the primary nursing intervention for croup?
Administer corticosteroids to reduce inflammation in the airway.
Fill in the blank: RSV often presents with __________.
wheezing and bronchiolitis.
Croup severity is assessed using which scale?
Loudness of stridor, retractions, and general appearance on the Westley Croup Score.
Nebulized epinephrine is used in croup for what purpose?
To provide rapid bronchodilation and reduce airway swelling.
True or False: Humidified air helps in managing RSV.
True. Humidified air can soothe irritated airways and ease breathing.
What is an important nursing action during RSV treatment?
Monitor oxygen saturation levels closely for signs of respiratory distress.
Croup vs. RSV: Which typically causes a 'barking' cough?
Croup is characterized by a barking cough, whereas RSV causes wheezing.
What symptom suggests severe croup?
Rapid breathing and stridor at rest indicate severe croup.
Key nursing intervention for RSV is to maintain __________.
adequate hydration and nutrition.
Which assessment finding indicates the need for immediate intervention in croup?
Cyanosis around the lips or face.
What should be monitored in a child with RSV?
Respiratory rate, effort, and oxygen saturation levels.
Croup and RSV can both lead to __________ if untreated.
respiratory failure.
What are common treatments for severe RSV cases?
- Hospitalization - Supplemental oxygen - Mechanical ventilation, if needed
Epiglottitis Recognition and Care(16)
What is a common cause of epiglottitis in children?
Haemophilus influenzae type b (Hib) is a common cause.
True or False: Epiglottitis is an emergency.
True. It can obstruct the airway rapidly.
List three signs of epiglottitis.
- Stridor - Drooling - High fever
What is the priority nursing action for suspected epiglottitis?
Maintain airway patency; prepare for intubation if necessary.
Fill in the blank: A patient with epiglottitis may exhibit ______.
tripod positioning.
What symptom differentiates epiglottitis from croup?
Drooling is more common in epiglottitis.
Name a critical nursing intervention for epiglottitis.
Administer oxygen to maintain saturation above 92%.
What imaging test can confirm epiglottitis?
Lateral neck X-ray shows a 'thumbprint' sign.
Cause → Effect: Swollen epiglottis leads to _____.
Airway obstruction.
What medications are commonly used in epiglottitis management?
- Antibiotics - Corticosteroids - Epinephrine (if needed)
True or False: Children with epiglottitis usually present with a barky cough.
False. They typically do not have a barky cough.
What is the normal temperature range for pediatric patients?
98.6°F (37°C) is average; fever is above 100.4°F (38°C).
Describe the assessment findings in epiglottitis.
Child may appear anxious, have stridor, and a high fever.
What should be avoided during epiglottitis assessment?
Avoid throat inspection; it may provoke airway obstruction.
What is the first-line treatment for bacterial epiglottitis?
Intravenous antibiotics, often starting with ceftriaxone.
What can happen if epiglottitis is untreated?
Rapid respiratory failure due to airway blockage.
Preguntas en este set(32)
1. Which virus is most commonly responsible for croup in children?
2. What is the primary pathogen associated with epiglottitis in children?
3. True or False: RSV can only cause illness in infants.
4. Which of the following signs is most indicative of epiglottitis?
5. What is a key symptom of croup?
6. During the assessment of a child suspected of having epiglottitis, which action should be avoided?
7. What is the first-line treatment for croup?
8. What position might a child with epiglottitis adopt to ease breathing?
9. RSV typically presents with which of the following symptoms?
10. Which of the following symptoms is NOT typically seen in epiglottitis?
11. Croup severity is assessed using which score?
12. What is the first step in managing a suspected epiglottitis case?
13. Nebulized epinephrine is indicated in croup for what effect?
14. Which medication is commonly used to treat bacterial epiglottitis?
15. True or False: Humidified air is beneficial for children with RSV.
16. What imaging study is most helpful in diagnosing epiglottitis?
17. What is a critical nursing action during the management of RSV?
18. What is a potential complication of untreated epiglottitis?
19. Croup is characterized by which type of cough?
20. True or False: Children with epiglottitis often exhibit wheezing.
21. Which symptom indicates severe croup requiring immediate intervention?
22. What is the typical temperature range that indicates a fever in children?
23. What is an essential nursing intervention for a child with RSV?
24. Which of the following assessments is critical in a child with suspected epiglottitis?
25. Which assessment finding suggests the need for immediate intervention in croup?
26. What is the expected nursing action if epiglottitis is suspected?
27. What should be closely monitored in a child diagnosed with RSV?
28. Which clinical finding is a hallmark of epiglottitis?
29. Croup and RSV can both lead to which potentially serious condition if left untreated?
30. After treatment for epiglottitis, what is a vital sign that should be closely monitored?
31. Common treatments for severe cases of RSV include which of the following?
32. Which of the following is a classic symptom that may suggest epiglottitis in a pediatric patient?
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