A nurse is caring for a pre-school age child who has epiglottitis and presents with a high fever, drooling, and a muffled voice. Which of the following actions should the nurse take?

Use a tongue depressor to observe the epiglottis.

Initiate airborne precautions.

Monitor oxygen saturation.

Obtain a throat culture.

Answer and Explanation

The Correct Answer is C

A. Using a tongue depressor can provoke spasm of the epiglottis and lead to airway obstruction; therefore, this action is contraindicated in a child with epiglottitis.

B. Airborne precautions are not necessary for epiglottitis; droplet precautions are more appropriate due to the risk of transmission.

C. Monitoring oxygen saturation is critical in this situation to assess the child's respiratory status and ensure adequate oxygenation, making it the most appropriate action.

D. Obtaining a throat culture may not be safe or practical in this scenario, as it can provoke further distress and complications; immediate assessment and stabilization are prioritized.

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Correct Answer is ["4"]

Explanation

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

In this case:

Desired dose = 320 mg
Concentration = 400 mg/5 mL = 80 mg/mL

Plugging the values into the formula:

Volume = 320 mg / 80 mg/mL = 4 mL

A. "Avoid triggers that cause an attack." B. "Take the mast cell stabilizer cromolyn sodium at the first sign of breathing difficulty." C. "Use the peak expiratory flow meter once per week." D. "You should stop playing basketball, but you can swim instead."

Correct Answer is A

Explanation

A. Avoiding triggers that cause an asthma attack is crucial in managing asthma effectively and should be emphasized in education.

B. Cromolyn sodium is a preventive medication and should be taken regularly, not just at the first sign of difficulty; immediate relief medications are preferred during an attack.

C. The peak expiratory flow meter should be used daily to monitor asthma control, rather than just once a week.

D. It is generally not necessary for the child to stop playing sports; many children with asthma can participate in activities like basketball as long as their condition is well-managed.

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A nurse is caring for a pre-school age child who has epiglottitis and presents with a high fever, drooling, and a muffled voice. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer amoxicillin 320 mg PO every 12 hr to an infant. The amount available is amoxicillin suspension 400 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["4"]

Explanation

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Correct Answer is A

Explanation

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