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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Incorrect. While maintaining eye contact during feedings is generally beneficial for bonding, it's not a specific intervention for managing neonatal abstinence syndrome.

B. Incorrect. Swaddling a newborn with extended legs might be uncomfortable, as newborns with neonatal abstinence syndrome can experience increased muscle tone and jitteriness.
C. Correct. Newborns with neonatal abstinence syndrome can be hypersensitive to stimuli, including noise. Minimizing noise in the environment helps reduce stress and overstimulation.
D. Incorrect. Naloxone is not typically administered to newborns with neonatal abstinence syndrome. The syndrome is managed through supportive care, gradually reducing exposure to the substance.

A. Temporarily discontinue the infusion. B. Give 500 mL of lactated Ringer's solution. C. Administer dextrose 10% in water. D. Slow the TPN infusion rate.

Correct Answer is C

Explanation

A. Incorrect. Temporarily discontinuing the TPN infusion may result in an abrupt decrease in the client's glucose intake, which could lead to hypoglycemia.
B. Incorrect. Giving lactated Ringer's solution would not address the client's TPN needs and may also affect electrolyte balance.
C. Administering dextrose 10% in water wouldprovide the required glucosed as the next bag is awaited
D. Slowing the TPN infusion rate can help stretch the remaining volume until a new bag becomes available. However, it does not adress the body's glucose requirements.

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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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