A 3-year-old presents to the emergency room with signs of respiratory distress. The child has epiglottitis associated with a high fever, is apprehensive, and is drooling. Which intervention should be avoided?
Weighing the child.
Assessing the child's vital signs.
Inspecting he child's mouth and throat with a tongue blade.
Listening to the child's lungs.
The Correct Answer is C
A. Weighing the child: This can be done safely without causing airway obstruction, though it is not the priority in respiratory distress.
B. Assessing the child's vital signs: Necessary to monitor the child's condition and does not exacerbate epiglottitis.
C. Inspecting the child's mouth and throat with a tongue blade: This is contraindicated as it can cause airway spasm and complete obstruction in a child with epiglottitis.
D. Listening to the child's lungs: Safe and part of the assessment for respiratory distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cyanosis with crying: Cyanosis is typically seen in cyanotic heart defects, not in PDA, which is acyanotic.
B. Machine-like murmur: Characteristic of PDA due to continuous blood flow between the aorta and pulmonary artery.
C. Chronic hypoxemia: PDA usually leads to left-to-right shunting, not hypoxemia.
D. Weak pulses: Pulses are typically bounding due to increased blood flow, not weak.
Correct Answer is C
Explanation
A. "He is always hungry.": This is not typically a sign of a congenital heart defect. Many infants are hungry frequently as they grow, so this would not be an alerting sign.
B. "He is fussy for several hours every day.": Fussiness is common in infants and does not necessarily indicate a congenital heart defect.
C. "He tires out during feedings.": This is a concerning sign. Infants with congenital heart defects often have difficulty feeding due to poor oxygenation and energy reserves. Fatigue during feedings is a common symptom of heart defects.
D. "He sleeps all the time.": Sleeping a lot could be normal for a 1-month-old infant, and it would not necessarily indicate a congenital heart defect unless the infant is lethargic or difficult to rouse.
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