A 2-year-old child has croup. Which nursing interventions are appropriate for this child? (Select all that apply.)
A.
Administering oral or intravenous antibiotics
B.
Administering racemic epinephrine (Micronefrin)
C.
Applying oxygen via an oxygen tent
D.
Teaching the parents how to give cough medication
E.
Using a warm-mist humidifier
ANS: B, C
Commonly, mild cases of croup are treated with cool mist. In the hospital setting, oxygen hoods for infants and oxygen tents for toddlers are used. Nebulized racemic epinephrine (Adrenalin) and l-epinephrine are equally effective in inducing mucosal vasoconstriction, with a consequent decrease in subglottic edema, thus relieving the symptoms. Antibiotics are not used in the management of croup, as it is primarily viral in nature. Cool-mist humidifiers should be used rather than warm mist due to the potential for bacterial growth in the warm-mist system.
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The nurse provides education to the parents of a 7-month-old infant regarding play. Which parental responses indicate accurate understanding of the information presented? Select all that apply
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