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.

Heron72·32 fiszki·32 pytania·2 wyświetleń
NCLEXnursingpediatric
0
Umiem
1 / 32
0
Uczę się
Przód

Croup is primarily caused by which virus?

Kliknij, aby odwrócić
Tył

Parainfluenza virus is the most common cause of croup in children.

Kliknij, aby odwrócić
Umiem
Uczę się

Quiz(32 pytania)

Pytanie 1 z 32

1. Which virus is most commonly responsible for croup in children?

Pojęcia w tym zestawie(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.

Pytania w tym zestawie(32)

1. Which virus is most commonly responsible for croup in children?

A.Parainfluenza virus
B.Rhinovirus
C.Adenovirus
D.Influenza virus

2. What is the primary pathogen associated with epiglottitis in children?

A.Haemophilus influenzae type b (Hib)
B.Streptococcus pneumoniae
C.Escherichia coli
D.Staphylococcus aureus

3. True or False: RSV can only cause illness in infants.

A.True
B.False
C.Not applicable
D.Only in preterm infants

4. Which of the following signs is most indicative of epiglottitis?

A.Barky cough
B.Drooling
C.Croupy stridor
D.Wheezing

5. What is a key symptom of croup?

A.Barking cough
B.High fever
C.Chest pain
D.Nasal congestion

6. During the assessment of a child suspected of having epiglottitis, which action should be avoided?

A.Checking vital signs
B.Inspecting the throat
C.Listening for stridor
D.Monitoring oxygen saturation

7. What is the first-line treatment for croup?

A.Antibiotics
B.Corticosteroids
C.Nebulized saline
D.Oxygen therapy

8. What position might a child with epiglottitis adopt to ease breathing?

A.Supine
B.Trendelenburg
C.Tripod
D.Lateral recumbent

9. RSV typically presents with which of the following symptoms?

A.Hoarseness
B.Wheezing
C.Barking cough
D.Stridor

10. Which of the following symptoms is NOT typically seen in epiglottitis?

A.High fever
B.Drooling
C.Barky cough
D.Stridor

11. Croup severity is assessed using which score?

A.Barker Croup Score
B.Westley Croup Score
C.Croup Severity Index
D.Stridor Severity Scale

12. What is the first step in managing a suspected epiglottitis case?

A.Administer corticosteroids
B.Prepare for intubation
C.Maintain airway patency
D.Obtain a lateral neck X-ray

13. Nebulized epinephrine is indicated in croup for what effect?

A.Antibiotic properties
B.Bronchodilation
C.Sedation
D.Fluid replacement

14. Which medication is commonly used to treat bacterial epiglottitis?

A.Acetaminophen
B.Ceftriaxone
C.Albuterol
D.Hydrocortisone

15. True or False: Humidified air is beneficial for children with RSV.

A.True
B.False
C.Only for infants
D.Only if fever is present

16. What imaging study is most helpful in diagnosing epiglottitis?

A.CT scan of the neck
B.Chest X-ray
C.Lateral neck X-ray
D.MRI of the throat

17. What is a critical nursing action during the management of RSV?

A.Administering antibiotics
B.Monitoring oxygen saturation
C.Providing antihistamines
D.Encouraging activity

18. What is a potential complication of untreated epiglottitis?

A.Dehydration
B.Airway obstruction
C.Bronchospasm
D.Pneumonia

19. Croup is characterized by which type of cough?

A.Barking cough
B.Dry cough
C.Wet cough
D.Productive cough

20. True or False: Children with epiglottitis often exhibit wheezing.

A.True
B.False
C.Depends on severity
D.Only in chronic cases

21. Which symptom indicates severe croup requiring immediate intervention?

A.Low-grade fever
B.Barking cough
C.Stridor at rest
D.Runny nose

22. What is the typical temperature range that indicates a fever in children?

A.98.6°F to 100.4°F
B.100.4°F to 102.2°F
C.102.2°F to 104°F
D.Above 104°F

23. What is an essential nursing intervention for a child with RSV?

A.Strict bed rest
B.Providing adequate hydration
C.Limiting fluids
D.Administering cough suppressants

24. Which of the following assessments is critical in a child with suspected epiglottitis?

A.Palpation of the abdomen
B.Listening for lung sounds
C.Assessing for stridor
D.Measuring capillary refill time

25. Which assessment finding suggests the need for immediate intervention in croup?

A.Increased heart rate
B.Cyanosis around the lips
C.Fever of 100°F
D.Decreased appetite

26. What is the expected nursing action if epiglottitis is suspected?

A.Position the child flat
B.Administer a cough suppressant
C.Prepare for possible intubation
D.Give oral fluids

27. What should be closely monitored in a child diagnosed with RSV?

A.Blood glucose levels
B.Respiratory efforts
C.Bowel movements
D.Urine output

28. Which clinical finding is a hallmark of epiglottitis?

A.Barky cough
B.Drooling
C.Mild fever
D.Cyanosis

29. Croup and RSV can both lead to which potentially serious condition if left untreated?

A.Dehydration
B.Respiratory failure
C.Sepsis
D.Febrile seizures

30. After treatment for epiglottitis, what is a vital sign that should be closely monitored?

A.Heart rate
B.Blood pressure
C.Respiratory rate
D.Temperature

31. Common treatments for severe cases of RSV include which of the following?

A.Oral antibiotics
B.Supplemental oxygen
C.Cough syrup
D.Antihistamines

32. Which of the following is a classic symptom that may suggest epiglottitis in a pediatric patient?

A.Drooling
B.Barking cough
C.Wheezing
D.Runny nose

Powiązane zestawy

Stwórz własny zestaw

Wgraj PDF, wklej notatki lub opisz temat – AI wygeneruje fiszki, quizy i więcej w kilka sekund.