A 3-year-old child is experiencing localized wheezing upon auscultation. Which statement by the mother would be most important for the nurse to report to the health care provider?
A) The child was eating peanuts earlier in the day.
B) The child eats hard candy as an afternoon treat.
C) The child has two cousins who have many allergies.
D) The child likes to play by himself for 15 minutes every afternoon.
A
Feedback:
The child is demonstrating signs of bronchial obstruction. After aspirating a small foreign body, the child generally coughs violently and may become short of breath. Localized wheezing may occur. Because this is localized, it is different from the generalized wheezing of a child with asthma. Hard tack candy is usually larger in size than a peanut. Localized wheezing is not a manifestation of allergies. Solitary play may or may not be important. It depends on the size of the toys that the child has for play and if any could be accidentally aspirated.
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