A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.

Inspect the epiglottis.

Obtain a throat culture.

Monitor oxygen saturation.

Begin droplet precautions.

Initiate IV access.

Answer and Explanation

Correct Answer : C,D,E

A.   Inspecting the epiglottis is contraindicated in suspected cases of epiglottitis as it may trigger laryngospasm and compromise the airway.
B.   Obtaining a throat culture may be indicated to confirm the presence of Haemophilus influenzae type B but is not an immediate priority in the management of epiglottitis.
C.   Monitoring oxygen saturation is crucial as respiratory distress and hypoxia are common complications of epiglottitis.
D.   Beginning droplet precautions is important to prevent the spread of the infectious agent to others.
E.   Initiating IV access is necessary for administering fluids and medications, as well as for potential airway management in severe cases of epiglottitis.

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Correct Answer is ["B","C","D"]

Explanation

A. Partial thromboplastin time (PTT) is not typically used to diagnose rheumatic fever. It is used to evaluate coagulation disorders.
B. Elevated C-reactive protein (CRP) levels indicate inflammation, which can be associated with rheumatic fever.
C. Elevated erythrocyte sedimentation rate (ESR) is a marker of inflammation and can be elevated in rheumatic fever.
D. Elevated Antistreptolysin O (ASO) titer indicates recent streptococcal infection, which is a predisposing factor for rheumatic fever.
E. Blood urea nitrogen (BUN) is not typically used to diagnose rheumatic fever. It is used to assess kidney function.

A. Ask the child's parent to leave the room during the procedure. B. Perform the procedure in the unit's playroom. C. Apply a topical anesthetic cream 1 hr prior to the procedure. D. Explain the procedure in detail to the child 3 hr prior to the procedure.

Correct Answer is C

Explanation

A. Asking the child's parent to leave the room may increase the child's anxiety and make the procedure more traumatic.
B. Performing the procedure in the playroom may not necessarily ensure atraumatic care as the environment may still be unfamiliar and anxiety-provoking for the child.
C. Applying a topical anesthetic cream helps numb the area, reducing the pain and discomfort associated with venipuncture, thus promoting atraumatic care.
D. Explaining the procedure in detail to the child 3 hours prior to the procedure may not be effective in reducing the child's anxiety at the time of the procedure.

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A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?

Correct Answer is C

Explanation

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