A nurse is planning care for a toddler who has epiglottitis. Which of the following interventions should the nurse include?
Continuously monitor the child's respiratory status.
Administer pancreatic enzymes with meals.
Assess the child for frequent swallowing.
Carefully suction the child's oropharynx to remove secretions.
The Correct Answer is A
A. Correct. Epiglottitis can cause airway obstruction, so continuous respiratory monitoring is crucial to detect any signs of respiratory distress.
B. Incorrect. Administering pancreatic enzymes is not relevant to epiglottitis.
C. Incorrect. Frequent swallowing assessment is not the priority for epiglottitis. Airway management is.
D. Incorrect. Suctioning may be necessary, but continuous respiratory monitoring takes precedence.
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Related Questions
Correct Answer is A
Explanation
A. Correct. Holding the client's eyes shut for a few seconds after death helps keep the eyelids closed and gives a more peaceful appearance.
B. Incorrect. Crossing the client's arms across their chest is not typically part of postmortem care and may not be culturally appropriate in some cases.
C. Incorrect. Removing dentures from the mouth is not a standard step in postmortem care unless specifically requested by the family or if they pose a risk of aspiration.
D. Incorrect. Placing the client in a high-Fowler's position is not necessary after death and is not part of postmortem care.
Correct Answer is E, B, D,C,A
Explanation
2. E. Turn on the suction and set the pressure.
1. B. Don sterile gloves.
3. D. Insert the catheter during the client's inspiration.
4. C. Apply suction while rotating the catheter.
5. A. Rinse the catheter to remove secretions.
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