When conducting a nursing assessment of a child with suspected epiglottitis, what information should the nurse include in the history-taking process? .

Choice A rationale:

Allergies to foods are not directly related to epiglottitis.

While it's essential information for a general health assessment, it doesn't provide specific insights into the condition.

Choice B rationale:

Immunization history is crucial in the assessment of a child with suspected epiglottitis.

Haemophilus influenzae type b (Hib) vaccination is highly effective in preventing epiglottitis caused by Hib bacteria.

Knowing the child's immunization status helps the nurse assess the likelihood of Hib infection.

Choice C rationale:

Recent travel destinations are not directly relevant to epiglottitis.

This information is more pertinent when assessing the risk of diseases like malaria or dengue fever, which are region-specific.

Choice D rationale:

Current hobbies and interests are not pertinent to the assessment of epiglottitis.

This information is important in a broader context for understanding the child's lifestyle but does not provide relevant data regarding the condition.

Choice A rationale:

Administering antibiotics intravenously as prescribed is a crucial intervention in the management of epiglottitis.

Epiglottitis is commonly caused by bacterial infections, and intravenous antibiotics are essential to target the underlying infection and prevent its spread.

The choice of antibiotic should be based on the specific causative organism and local antibiotic resistance patterns.

Choice B rationale:

Administering corticosteroids intravenously as prescribed is another important intervention in the supportive care of epiglottitis.

Corticosteroids help reduce airway inflammation, which is a significant concern in epiglottitis.

By decreasing inflammation, corticosteroids can alleviate respiratory distress and improve the patient's breathing.

Choice C rationale:

Providing hydration and nutrition by intravenous fluids is necessary in the management of epiglottitis, especially if the child is having difficulty swallowing or breathing.

Intravenous fluids ensure that the child receives adequate hydration and nutrition while minimizing the risk of aspiration, which can worsen the airway obstruction.

Choice E rationale:

Providing humidified air or cool mist therapy to moisten the airway is a supportive measure that can help ease breathing difficulties in children with epiglottitis.

Humidified air or cool mist therapy can soothe the inflamed airway, making it easier for the child to breathe.

It is essential to maintain a moist environment to prevent further irritation and discomfort.

Choice D rationale:

Educating the child and family about the prevention of epiglottitis is important for overall health awareness, but it is not a direct supportive intervention for a child already diagnosed with the condition.

While prevention strategies, such as timely vaccinations and good hygiene, are crucial, they do not constitute immediate supportive care for a child with active epiglottitis.