Question

The nurse is caring for a 2-year-old child diagnosed with croup. The nurse collects data on the child, knowing that which are characteristics of this illness? Select all that apply.

-The cough is harsh and metallic.
-Inspiratory stridor may be present.
-Symptoms usually worsen at night and are better during the day.
-It is usually preceded by several days of upper respiratory infection symptoms.

Answer 1

Croup in children is characterized by a harsh, metallic cough, inspiratory stridor, worsening of symptoms at night, and preceding upper respiratory infection symptoms. Respiratory distress should be closely monitored by the nurse.

Step-by-step explanation:

Characteristics of Croup in Children

The nurse caring for a child with croup should be aware of several characteristic signs and symptoms associated with this respiratory illness. These include:

• A cough that is harsh and sounds like a barking seal, often described as metallic.
• Inspiratory stridor, which is a high-pitched wheezing sound heard when the child breathes in.
• Symptoms that usually worsen at night, causing more distress and discomfort for the child.
• The condition is often preceded by upper respiratory infection symptoms, such as a runny nose or fever, a few days before the onset of croup.

Croup is typically caused by a viral infection, and these infections can lead to swelling of the voice box (larynx) and windpipe (trachea), causing the classic symptoms. It is especially important for the nurse to monitor the child for signs of shortness of breath, wheezes or stridor, and to ensure appropriate treatment and interventions are provided.