CCRN Critical Care Nursing

Category - Pediatrics

A student nurse is caring for a 4-year old child diagnosed with croup and the clinical instructor asks the student about the clinical manifestations associated with the illness. Which statement by the student indicates a need for further research:
  1. cough is harsh and brassy
  2. inspiratory stridor and a low-grad fever may be present
  3. symptoms usually worsen at night and are better during the day
  4. symptoms usually worsen during the day and are relieved during sleep
Explanation
Answer: D - Croup often begins at night and may be preceded by several days of upper respiratory infection symptoms. Croup is characterized by a sudden onset of a harsh, brassy cough, sore throat, and inspiratory stridor. Symptoms usually worsen at night and are better in the day. Croup usually is accompanied by a low-grade fever.
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