A student nurse is caring for a 4-year old child diagnosed with croup and the clinical instructor asks the student about the clinical manifestations associated with the illness. Which statement by the student indicates a need for further research:

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Croup often begins at night and may be preceded by several days of upper respiratory infection symptoms. Croup is characterized by a sudden onset of a harsh, brassy cough, sore throat, and inspiratory stridor. Symptoms usually worsen at night and are better in the day. Croup usually is accompanied by a low-grade fever.

A Student Nurse Is Caring for a 4-Year Old Child