CCRN Critical Care Nursing

Category - Pediatrics

The mother of a 16-month-old child who is coughing and having trouble breathing calls the clinic to ask advice because she suspects that her child has croup. Which of the following instructions would be most appropriate?
  1. Administer acetaminophen (Tylenol) every 4 hours
  2. Take the child into the bathroom and run the hot water
  3. Give over-the-counter cough syrup every 6 hours
  4. Get the child to take as much fluid as possible
Explanation
Answer: B - For a child with croup who is coughing and having difficulty breathing, the child should be taken into the shower where hot water is running to make the bathroom steamy. Steam helps to loosen secretion and relieve some of the respiratory distress. Giving acetaminophen is helpful but will not ease difficult breathing. Giving over-the-counter cough syrup is inappropriate because the underlying problem is airway inflammation and subsequent mucus accumulation and bronchoconstriction. Getting the child to take as much fluid as possible is important but it will not be effective in easing difficult breathing.
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