The nurse employed in an emergency department is instructed to monitor a child diagnosed with epiglottitis. The nurse notes that the child is leaning forward with the chin thrust out. The nurse interprets this observation as indicating which finding?
Extreme fatigue
An airway obstruction
The presence of dehydration
The presence of pain
The Correct Answer is B
B. Leaning forward with the chin thrust out, often described as the "sniffing position," is a classic sign of airway obstruction, particularly in cases of epiglottitis. This positioning helps to maximize airway patency by opening the airway and reducing the risk of further obstruction.
A. Leaning forward with the chin thrust out is not typically associated with extreme fatigue. Instead, it is a specific positioning often seen in individuals with epiglottitis to help alleviate airway obstruction and facilitate breathing.
C. Leaning forward with the chin thrust out is not indicative of dehydration. Dehydration may present with other signs and symptoms such as dry mucous membranes, decreased urine output, sunken fontanelle (in infants), and poor skin turgor.
D. Pain may be present in a child with epiglottitis but leaning forward with the chin thrust out is not primarily indicative of pain. This positioning is primarily a compensatory mechanism to alleviate airway obstruction rather than a response to pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ice pops are often recommended after tonsillectomy to help soothe the throat and provide hydration.
B.Although ice cream is cold and can soothe the throat, it is not the best option immediately after surgery. Dairy products, including ice cream, can sometimes lead to increased mucus production, which could irritate the throat and make swallowing more difficult during the healing process.
C. Offering hot tea is not recommended immediately following a tonsillectomy. Hot beverages, including tea, can increase the risk of bleeding and discomfort at the surgical site.
D. Cranberry juice is not an appropriate choice immediately post-tonsillectomy. While hydration is essential for recovery, acidic or tart beverages like cranberry juice may irritate the surgical site and increase discomfort.
Correct Answer is A
Explanation
A. Amblyopia occurs when one eye has weaker vision than the other due to abnormal visual development early in life. Patching the good eye helps to encourage the brain to rely more on the weaker eye, stimulating its visual development. This treatment aims to improve vision in the affected eye and restore visual acuity.

B. Patching the affected eye is not a common treatment for amblyopia. In fact, patching the affected eye would further decrease visual input to that eye and could potentially exacerbate the condition. The goal of treatment for amblyopia is to strengthen the weaker eye by encouraging its use, rather than resting it.
C. Corticosteroids are not typically used to treat amblyopia unless there is a specific underlying condition causing inflammation of the optic nerve. Amblyopia is primarily a developmental issue rather than an inflammatory condition, so corticosteroids would not be the first-line treatment for this condition.
D. This is not a common treatment for amblyopia. In fact, the goal of treatment for amblyopia is to improve vision in the affected eye, not to intentionally blur the vision in the good eye. Glasses prescribed for amblyopia typically aim to correct refractive errors (such as nearsightedness, farsightedness, or astigmatism) and provide clear vision to both eyes, which can help support visual development in the weaker eye.
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