A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take

Obtain a throat culture.

Visualize the epiglottis with a tongue depressor

Place the child in an upright position

Transport the child to radiology for a throat x-ray

Answer and Explanation

The Correct Answer is C

A. Obtaining a throat culture and B. visualizing the epiglottis with a tongue depressor are not safe actions for the nurse to perform without appropriate medical equipment and expertise. These actions can trigger a sudden airway obstruction in a child with epiglottitis. The priority is to ensure airway patency and seek immediate medical assistance.

C. Place the child in an upright position.

Suspected epiglottitis is a medical emergency that can result in rapid airway obstruction. Placing the child in an upright position helps improve airflow by allowing the throat to open and reduces the risk of complete airway obstruction. It's important not to perform invasive procedures (such as throat culture or visualization of the epiglottis) without proper medical equipment and expertise, as these actions can lead to worsening airway obstruction.

D. Transporting the child to radiology for a throat x-ray is not appropriate in this situation, as it may delay necessary interventions to secure the airway.

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Correct Answer is C

Explanation

A. Provide activities for the sibling to do at home: While providing activities can be a good way to engage the sibling and offer a distraction, it may not address their need for understanding and emotional support. Answering questions and providing information about the condition is more directly beneficial in this context.

B. Avoid interruptions by coordinating using actions: This option is not clear and may not directly address the social support needs of the sibling. It's important to have open communication and address their concerns rather than coordinating actions to avoid interruptions.

C. Answer questions honestly and clearly.

In a situation where a 10-year-old sibling of a child with a complex chronic condition needs social support, providing honest and clear answers to their questions is essential. It's important to address their concerns and provide information in an age-appropriate manner. Children can feel anxious or confused when a sibling has a complex chronic condition, and providing honest and clear answers helps them understand the situation better and reduces their anxiety.

D. Encourage the sibling to write in a journal: While journaling can be a helpful coping strategy, it may not be the most immediate response to their social support needs. Answering questions and providing emotional support should come first.

A. White glow of the pupil. B. Ptosis of the eye C. Fixed and dilated pupil D. Purulent eye discharge

Correct Answer is A

Explanation

A white glow of the pupil, often referred to as "cat's eye reflex" or "leukocoria," is a significant and characteristic sign of retinoblastoma. It occurs when the tumor within the eye reflects light, resulting in a white or yellowish glow in the pupil when light is shined into it. This can be seen in flash photographs or in certain lighting conditions. It's a crucial sign that may indicate the presence of retinoblastoma, a rare eye cancer that primarily affects young children.

The other options, B (ptosis of the eye), C (fixed and dilated pupil), and D (purulent eye discharge), are not typically associated with retinoblastoma. Ptosis is the drooping of the upper eyelid, a fixed and dilated pupil is usually a sign of neurological issues, and purulent eye discharge is often associated with eye infections rather than retinoblastoma.

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A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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