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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. Both parents are carriers of the CF gene: Cystic fibrosis follows an autosomal recessive inheritance pattern, meaning both parents must carry one copy of the defective gene, even if they do not have the disease themselves. The child inherits one copy of the defective gene from each parent to develop CF.

B. The inheritance pattern is multifactorial: CF is not a multifactorial disease; it follows a clear recessive genetic inheritance pattern.

C. The result is probably a genetic mutation: CF is caused by a genetic mutation, but this mutation is inherited from both parents. It is not usually a spontaneous mutation unless it occurs in the parental genetic material, which is rare.

D. Only one parent carries the CF gene: For the child to inherit CF, both parents must be carriers of the gene. If only one parent carries the gene, the child would be a carrier, not affected by the disease.

A. Medium formed stool with an orange tint B. Liquid stool C. Small, round pellet shaped stool D. Large, bulky, frothy, greasy, and foul-smelling stool (steatorrhea)

Correct Answer is D

Explanation

A. Medium formed stool with an orange tint: Not typical in cystic fibrosis.

B. Liquid stool: While diarrhea can occur, it is not the hallmark of cystic fibrosis-related malabsorption.

C. Small, round pellet-shaped stool: More indicative of constipation, not cystic fibrosis.

D. Large, bulky, frothy, greasy, and foul-smelling stool (steatorrhea): Characteristic of malabsorption caused by pancreatic enzyme insufficiency in cystic fibrosis.

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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?

Nursing Test Bank

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Explanation

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Correct Answer is D

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