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 A
Explanation
A. Verbal de-escalation by acknowledging the client’s emotions (“You seem to be very upset”) helps to diffuse tension and can prevent further agitation.
B. Initiating seclusion should be a last resort after other de-escalation techniques fail.
C. Engaging the panic alarm is necessary only if the client becomes physically violent.
D. Using a face shield is not warranted unless there is a risk of bodily fluid exposure.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
- Seizures: The client's elevated blood pressure, severe headache, and hyperreflexia are indicative of preeclampsia, which can lead to eclampsia and seizures.
- Placental abruption: The client's history of preterm birth and current symptoms of severe headache, decreased fetal movement, and proteinuria increase the risk of placental abruption
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