A client presents with symptoms of epiglottitis, including difficulty swallowing and a muffled voice.
What is the most common causative agent of epiglottitis in children?

Choice A rationale:

The statement "My throat is really sore.”.

is a common symptom of throat infections, including epiglottitis.

While it is concerning, it is not the most concerning symptom in this case.

Epiglottitis can rapidly progress, leading to respiratory distress, which is a life-threatening condition.

Choice B rationale:

The statement "I can't stop drooling.”.

is a significant concern in a child suspected of having epiglottitis.

Drooling and difficulty managing secretions are hallmark signs of epiglottitis and indicate compromised airway protection.

This symptom suggests that the epiglottis is inflamed and obstructing the airway, potentially leading to respiratory distress and the need for urgent intervention.

Choice C rationale:

The statement "I feel restless and agitated.”.

is a non-specific symptom and may be seen in various illnesses, including infections.

While it indicates the child's discomfort, it does not directly point to the severity of the condition or airway compromise, making it less concerning than the inability to handle secretions.

Choice D rationale:

The statement "I'm having trouble breathing.”.

is the most concerning symptom in a child suspected of having epiglottitis.

Difficulty breathing indicates significant airway obstruction, which can rapidly progress to respiratory failure.

This symptom requires immediate medical attention and intervention to secure the airway and prevent further complications.

Choice A rationale:

Administering antibiotics intravenously as prescribed is a crucial intervention in the management of epiglottitis.

Epiglottitis is commonly caused by bacterial infections, and intravenous antibiotics are essential to target the underlying infection and prevent its spread.

The choice of antibiotic should be based on the specific causative organism and local antibiotic resistance patterns.

Choice B rationale:

Administering corticosteroids intravenously as prescribed is another important intervention in the supportive care of epiglottitis.

Corticosteroids help reduce airway inflammation, which is a significant concern in epiglottitis.

By decreasing inflammation, corticosteroids can alleviate respiratory distress and improve the patient's breathing.

Choice C rationale:

Providing hydration and nutrition by intravenous fluids is necessary in the management of epiglottitis, especially if the child is having difficulty swallowing or breathing.

Intravenous fluids ensure that the child receives adequate hydration and nutrition while minimizing the risk of aspiration, which can worsen the airway obstruction.

Choice E rationale:

Providing humidified air or cool mist therapy to moisten the airway is a supportive measure that can help ease breathing difficulties in children with epiglottitis.

Humidified air or cool mist therapy can soothe the inflamed airway, making it easier for the child to breathe.

It is essential to maintain a moist environment to prevent further irritation and discomfort.

Choice D rationale:

Educating the child and family about the prevention of epiglottitis is important for overall health awareness, but it is not a direct supportive intervention for a child already diagnosed with the condition.

While prevention strategies, such as timely vaccinations and good hygiene, are crucial, they do not constitute immediate supportive care for a child with active epiglottitis.