A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?
Administer 0,9% sodium chloride IV solution.
Assist with obtaining an x-ray of the child's neck
Initiate IV antibiotics.
Place the child on droplet precautions
The Correct Answer is D
A. Administer 0.9% sodium chloride IV solution: Although IV fluids might be necessary to maintain hydration and circulation, this is not the priority over preventing the spread of infection.
B. Assist with obtaining an x-ray of the child's neck. Imaging can help confirm the diagnosis but should be done after ensuring infection control measures.
C. Initiate IV antibiotics. Antibiotics are crucial for treatment but should follow the implementation of droplet precautions to prevent the spread of infection.
D. Place the child on droplet precautions.
Epiglottitis is a medical emergency primarily caused by bacterial infections, such as Haemophilus influenzae type B (Hib). The first priority is to ensure the safety of both the patient and others by preventing the spread of infection. Placing the child on droplet precautions helps to contain the bacteria and protect healthcare workers and other patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Rye toast
Explanation: Rye contains gluten, so it is not suitable for individuals with celiac disease. It should be avoided in a gluten-free diet.
B. Rice
Explanation:
Celiac disease is a condition characterized by an immune reaction to gluten, a protein found in wheat, barley, and rye. Individuals with celiac disease must follow a gluten-free diet to manage the condition. Rice is a gluten-free grain and is safe for individuals with celiac disease to include in their diet.
C. Wheat bread
Explanation: Wheat contains gluten, and products made from wheat, such as wheat bread, should be avoided in a gluten-free diet for individuals with celiac disease.
D. Oatmeal
Explanation: Oats themselves are gluten-free, but cross-contamination can occur during processing. Some individuals with celiac disease can tolerate pure, uncontaminated oats, but it's essential to ensure that the oats are labeled gluten-free. Regular oats may be cross-contaminated with gluten-containing grains during processing.
Correct Answer is C
Explanation
A. Crayons and a coloring book:
Incorrect: Crayons and coloring books may not be appropriate for a 12-month-old, as they may pose a choking hazard. Additionally, they might require more direct contact, which may not be ideal under contact precautions.
B. Modeling clay:
Incorrect: Modeling clay may also pose a choking hazard for a toddler. Moreover, it can be messy and may not be suitable for use in a hospital room with contact precautions.
C. Hanging crib toys.
Correct Answer: Hanging crib toys can provide visual and tactile stimulation for the toddler without the need for direct contact. These toys can be attached to the crib, allowing the child to engage with them safely.
D. Large building blocks:
Incorrect: While large building blocks can be suitable for a toddler's developmental needs, they may not be the best option in a confined hospital room under contact precautions. The child's access to and handling of the blocks may be limited in this setting.
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