CCNS Certified Clinical Nurse Specialist

Answer - D - A statement by the student that indicates a need for further assessment is symptoms usually worsen during the day and are relieved during sleep. 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 is usually accompanied by a low-grade fever, but occasionally the temperature may be as high as 104° F.