A nurse is admitting a child who has acute epiglottitis. Which of the following actions should the nurse take?
Obtain a throat culture.
Initiate droplet isolation precautions.
Assist the child into a supine position.
Check oxygen saturation every 4 hr.
The Correct Answer is B
The nurse should initiate droplet isolation precautions when admitting a child who has acute epiglottitis.
Epiglottitis is commonly caused by Haemophilus influenzae type B and can be transmitted through respiratory droplets.
Choice A is wrong because obtaining a throat culture is not recommended when epiglottitis is suspected, as it can cause further obstruction of the airway.
Choice C is wrong because assisting the child into a supine position can worsen the airway obstruction.
Children with epiglottitis prefer to sit upright with the chin extended and mouth open.
Choice D is wrong because checking oxygen saturation every 4 hours may not be frequent enough for a child with acute epiglottitis who may require continuous monitoring of oxygen saturation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The pneumococcal conjugate vaccine (PCV13) is one of the immunizations recommended for people with sickle cell anemia.
People with sickle cell disease are immunocompromised and have an increased risk of infection, so immunizations are an important part of their care.
Choice B is not the best answer because the rotavirus vaccine is not specifically recommended for people with sickle cell anemia.
Choice C is wrong because the MMR vaccine is not specifically recommended for people with sickle cell anemia.
Choice D is wrong because there is no vaccine for respiratory syncytial virus (RSV).
Correct Answer is B
Explanation
A relaxed facial expression can indicate that the medication is having a therapeutic effect and that the infant is experiencing pain relief.
Choice A is wrong because bradycardia is not an indication that the medication is having a therapeutic effect.
Choice C is wrong because increased blood pressure is not an indication that the medication is having a therapeutic effect.
Choice D is wrong because limb withdrawal is not an indication that the medication is having a therapeutic effect.
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