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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. A highly pruritic profuse macule to papule rash on the trunk.
Explanation: This description does not align with the typical presentation of erythema infectiosum. The rash in fifth disease is not highly pruritic, and the initial characteristic is the "slapped face" appearance.
B. A discrete pinkish red maculopapular rash that is spreading to the trunk.
Explanation: While erythema infectiosum can involve a discrete rose-pink maculopapular rash on the trunk and limbs, the key initial characteristic is the "slapped face" appearance.
C. An erythema on the face that has a "slapped face appearance."
Explanation:
Erythema infectiosum, caused by the parvovirus B19, is commonly known as fifth disease. The initial rash often presents with a distinctive "slapped face" appearance, characterized by erythema (redness) on the cheeks, resembling a slapped appearance. Subsequently, a discrete rose-pink maculopapular rash may develop on the trunk and limbs.
D. A discrete rose-pink maculopapular rash on the trunk.
Explanation: This description aligns with the later stages of the rash in erythema infectiosum. However, the initial characteristic is the "slapped face" appearance on the face.

A. "This test will confirm if your child had a recent streptococcal infection." B. "This test will indicate if your child has rheumatic fever." C. "This test will confirm if your child has immunity to streptococcal bacteria." D. "This test will indicate if your child has a therapeutic blood level of an aminoglycoside."

Correct Answer is A

Explanation

A. "This test will confirm if your child had a recent streptococcal infection."
Explanation:
The anti-streptolysin O (ASO) titer is a blood test used to detect the presence of antibodies against streptolysin O, a toxin produced by group A Streptococcus bacteria. A rise in ASO titers indicates a recent streptococcal infection. It does not confirm rheumatic fever directly but helps in identifying a recent streptococcal infection, which is a predisposing factor for rheumatic fever.
B. "This test will indicate if your child has rheumatic fever."
Explanation: While a positive ASO titer may suggest a recent streptococcal infection, it does not directly indicate rheumatic fever. The diagnosis of rheumatic fever involves a combination of clinical criteria, including evidence of a recent streptococcal infection, along with specific signs and symptoms.
C. "This test will confirm if your child has immunity to streptococcal bacteria."
Explanation: The ASO titer does not measure immunity to streptococcal bacteria. It specifically detects antibodies produced in response to a recent streptococcal infection.
D. "This test will indicate if your child has a therapeutic blood level of an aminoglycoside."
Explanation: The ASO titer is not used to monitor therapeutic blood levels of aminoglycosides. It is specific to detecting antibodies related to streptococcal infections and is not related to aminoglycoside therapy.

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A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

On assessment, the school nurse notes that the child has a rash. The nurse suspects that the child has erythema infectiosum (fifth disease). because the skin assessment revealed a rash that has which characteristics?

Correct Answer is C

Explanation

A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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