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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A. Used to treat inflammation and swelling: Furosemide (Lasix) does not treat inflammation. It is a diuretic used to reduce fluid retention (edema), not inflammation.
B. Used in the treatment of hypertension and dysrhythmias: Furosemide is primarily used in the treatment of hypertension and edema, not dysrhythmias.
C. Used in the treatment of cystic fibrosis to help break up thick secretions: Furosemide is not used for cystic fibrosis; it is a loop diuretic used for fluid retention and hypertension.
D. Used in the treatment of hypertension and edema: Furosemide (Lasix) is a loop diuretic that helps to reduce fluid buildup (edema) and lower blood pressure in conditions such as heart failure, chronic kidney disease, and hypertension.
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