A nurse in an emergency department is caring for a 3-year-old child who has suspected epiglottitis. Which of the following actions should the nurse include in the plan nurse take?
Prepare a cool mist tent.
Suction the child's oropharynx.
Prepare to assist with intubation.
Obtain a throat culture.
The Correct Answer is C
A. A cool mist tent may be helpful for other respiratory conditions but is not the priority in epiglottitis.
B. Suctioning the oropharynx can cause further airway irritation and increase the risk of airway obstruction.
C. Epiglottitis can rapidly lead to airway obstruction, and intubation may be necessary to secure the airway.
D. Obtaining a throat culture is contraindicated as it may trigger airway closure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Keeping the television on at night can cause confusion and disrupt sleep patterns, increasing the risk of injury.
B. Assisting the client to the toilet frequently can prevent falls and reduce the risk of incontinence-related injuries.
C. Raising side rails may increase the risk of injury due to falls or entrapment.
D. Placing the bedside table at the foot of the bed may lead to confusion and increase fall risk.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Answers: Hypoxemia; Oxygen saturation
Rationale:
Hypoxemia: The client’s oxygen saturation is 88% on room air, which is below the normal range (≥ 95%). Hypoxemia is the most immediate and life-threatening concern as it affects oxygen delivery to vital organs.
Oxygen saturation: Low oxygen saturation is a direct indicator of impaired gas exchange, commonly seen in conditions like pneumonia. The priority intervention is to improve oxygenation, as outlined in the provider's prescription to administer oxygen at 2 L/min via nasal cannula.
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