A nurse is planning care for a toddler who has epiglottitis.

Which of the following interventions should the nurse include?

Assess the child for frequent swallowing.

Continuously monitor the child’s respiratory status.

Carefully suction the child’s oropharynx to remove secretions.

Administer pancreatic enzymes with meals.

Answer and Explanation

The Correct Answer is B

This is because epiglottitis is a life-threatening condition that can cause severe airway obstruction and respiratory distress in children. The nurse should monitor the child for signs of worsening breathing, such as stridor, cyanosis, restlessness, or drooling. The nurse should also be prepared to assist with intubation or tracheostomy if needed.
Choice A is wrong because assessing the child for frequent swallowing may increase the risk of vomiting and aspiration. Swallowing may also be difficult and painful for the child due to the inflammation of the epiglottis.
Choice C is wrong because suctioning the child’s oropharynx may cause more swelling and irritation of the epiglottis, or trigger a spasm that can close off the airway. The nurse should avoid any stimulation of the throat or mouth that may worsen the condition.
Choice D is wrong because administering pancreatic enzymes with meals is not relevant to epiglottitis. Pancreatic enzymes are used to treat cystic fibrosis, a genetic disorder that affects the lungs and digestive system. Epiglottitis is caused by a bacterial infection or an injury to the throat.

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Correct Answer is B

Explanation

Advance directives are legal documents that allow a person to express their wishes for medical care in case they become incapacitated or unable to communicate. They do not require a lawyer or a notary to be valid, as long as they follow the state laws and are signed by the person and two witnesses.

Choice A is wrong because it implies that legal representation is necessary for advance directives, which is not true.

A social worker can help the client with other resources or support, but not with finding a lawyer for this purpose.

Choice C is wrong because it suggests that advance directives can be verbal, which is not true. Advance directives must be written and signed to be legally binding.

Verbal agreements may not be honored or remembered by the provider or the family.

Choice D is wrong because it implies that advance directives need legal review, which is not true. Advance directives are personal decisions that do not need to be approved by a lawyer or a court.

Legal review may be helpful in some cases, but it is not mandatory or essential.

A. Send the unsigned informed consent form to the facility’s risk manager. B. Ensure that the client’s family supports the provider’s decision for surgery. C. Determine if the procedure is medically necessary for the client. D. Determine if the client’s healthcare surrogate is aware of the risks and benefits of the procedure.

Correct Answer is D

Explanation

A healthcare surrogate is a person who is authorized to make healthcare decisions for a client who is unable to do so. The nurse has a legal and ethical responsibility to ensure that the client’s surrogate has given informed consent for the surgery, which means that they have received adequate information about the procedure, its purpose, its risks, its benefits, and its alternatives.
Choice A is wrong because sending the unsigned informed consent form to the facility’s risk manager does not ensure that the client’s surrogate has given informed consent. The risk manager is not involved in the consent process and cannot authorize the surgery without the surrogate’s consent.
Choice B is wrong because ensuring that the client’s family supports the provider’s decision for surgery is not the same as obtaining informed consent from the surrogate.

The family may have different opinions or preferences than the surrogate, and the surrogate may not agree with the provider’s decision. The nurse should respect the surrogate’s autonomy and authority to make decisions for the client.
Choice C is wrong because determining if the procedure is medically necessary for the client is not the nurse’s role.
The provider is responsible for determining the medical necessity of the surgery and explaining it to the surrogate. The nurse should not question or interfere with the provider’s judgment unless there is evidence of negligence or malpractice.

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A nurse is planning care for a toddler who has epiglottitis. Which of the following interventions should the nurse include?

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A nurse is planning care for a toddler who has epiglottitis.

Which of the following interventions should the nurse include?