A 4-year-old is admitted to the ER and is being assessed by a nurse. What are the clinical findings of epiglottitis? (Select All that Apply.)

Stridor

Dry, barking cough

Difficulty swallowing

Drooling

Hoarseness and difficulty speaking

Low-grade fever

Answer and Explanation

Correct Answer : A,C,D,E

A. Stridor is a hallmark sign of upper airway obstruction and is commonly present in epiglottitis.
B. A dry, barking cough is more characteristic of croup (laryngotracheobronchitis), not epiglottitis.
C. Difficulty swallowing (dysphagia) occurs due to inflammation and swelling of the epiglottis.
D. Drooling is a key symptom because the child is unable or unwilling to swallow secretions due to pain and obstruction.
E. Hoarseness and difficulty speaking (muffled or "hot potato" voice) are common due to swelling near the vocal cords and larynx.
F. Epiglottitis typically presents with a sudden high-grade fever, not a low-grade one.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Sores may occur from mouth trauma or viral infections but are not a common side effect of inhaled corticosteroids.
B. Hairy tongue is a rare condition usually linked to poor oral hygiene or antibiotic use, not inhaled corticosteroids.
C. Thrush (oral candidiasis) is a common side effect of inhaled corticosteroids. The medication can suppress local immunity in the mouth and throat, allowing Candida (yeast) to overgrow. This is why patients are advised to rinse their mouth after using inhaled corticosteroids.
D. Bad breath may result from dry mouth or infections but is not a primary or common side effect of this medication.

A. Vanilla milkshake B. Orange juice C. Cranberry juice D. Crushed ice

Correct Answer is D

Explanation

A. A vanilla milkshake contains dairy, which can coat the throat and cause coughing or throat clearing, potentially leading to bleeding.
B. Orange juice is acidic and can irritate the surgical site, causing pain and discomfort.
C. Cranberry juice, while not as acidic as orange juice, can still be irritating due to its tartness, especially in the early postoperative phase.
D. Crushed ice is ideal shortly after a tonsillectomy. It helps keep the throat moist, provides soothing relief, and poses minimal risk of irritation or bleeding. It is often recommended as one of the first oral intake options post-op.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 4-year-old is admitted to the ER and is being assessed by a nurse. What are the clinical findings of epiglottitis? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is a common side effect of inhaled corticosteroids?

Correct Answer is C

Explanation

A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which fluid items should the nurse offer the child at this time?

Correct Answer is D

Explanation

The nurse is caring for a child with Kawasaki disease (KD). A student nurse on the unit asks if there are medications to treat this disease. The nurse's response to the student nurse is:

Which of the following is an early sign of congestive heart failure that the nurse should recognize?

A nurse reports an incident of suspected child abuse. One of the child's parents becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

A two-year-old toddler who weighs 30 pounds is diagnosed with otitis media. The physician ordered the antibiotic amoxicillin 20mg/kg PO q8 h. The label reads 125 mg in 5 ml. How many millimeters will you administer?

Which statement by an 8-year-old female client with asthma indicates that she understands using a peak expiratory flow meter?

Nursing care of the infant and child with congestive heart failure would include which of the following?

While teaching anticipatory guidance to a young couple with a child with Down syndrome, the nurse explains that one major physical characteristic of the child with Down syndrome is:

The nurse is caring for a child who has undergone cardiac catheterization. During the recovery, the nurse notices that the dressing is saturated with bright red blood. The nurse's first action is to: