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    Ati lpn paediatrics proctored exam cohort 65

    A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. These findings are associated with which of the following diagnoses?

    Explanation & Rationale

    A. Sickle Cell Disease: Sickle cell disease presents with episodes of pain, anemia, and other complications, but it does not typically cause sneezing, coughing, nasal congestion, or apneic spells. B. Bronchiolitis: Bronchiolitis is a viral respiratory infection, most commonly caused by respiratory syncytial virus (RSV), that affects infants and young children. Symptoms include sneezing, coughing, nasal congestion, fever, and apneic episodes, which match the description in the question. C. Croup: Croup is characterized by a barky cough, hoarseness, and stridor, usually due to viral infections such as parainfluenza. It does not typically cause apneic spells in a 3-month-old. D. Epiglottitis: Epiglottitis presents with severe sore throat, difficulty swallowing, drooling, and stridor. It is a more acute, life-threatening condition that does not typically present with nasal congestion or apneic spells.

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