A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Obtain an x-ray of the child's neck
Administer intravenous antibiotics
Initiate droplet precautions
Place intubation equipment at the bedside.
The Correct Answer is D
Rationale:
A. Obtaining an x-ray of the child's neck may be necessary for diagnosis, but ensuring immediate safety and infection control measures take precedence.
B. Administering intravenous antibiotics is important in the treatment of epiglottitis but is not the immediate priority.
C. Initiating droplet precautions is crucial in this case to prevent the spread of infection to others but is not as important as securing the airway.
D. Placing intubation equipment at the bedside is the first priority because epiglottitis can cause airway obstruction and respiratory distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Pinpoint pupils are more commonly associated with opioid overdose rather than inhalation of gasoline.
B. Ataxia, or lack of coordination, is a common neurological symptom of gasoline inhalation due to its toxic effects on the brain and nervous system.
C. Hyperactive reflexes are not typically associated with gasoline inhalation but rather with stimulant use such as amphetamines or cocaine.
D. Inhalation of gasoline is more likely to cause hyperthermia due to its effects on the central nervous system and metabolic rate.
Correct Answer is D
Explanation
Rationale:
A. Sweating is more commonly associated with hypoglycemia (low blood sugar) rather than hyperglycemia (high blood sugar).
B. Tremors are more commonly associated with hypoglycemia.
C. Pallor is not typically associated with hyperglycemia.
D. Thirst (polydipsia) is a classic symptom of hyperglycemia in diabetes mellitus, as the body tries to dilute the excess sugar in the bloodstream by increasing fluid intake.
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