A charge nurse on a pediatric unit is observing a newly licensed nurse provide care for a child diagnosed with acute epiglottis. Which of the following actions by the newly licensed nurse indicates that the charge nurse should intervene?
Assessing vital signs with temperature and oxygen saturation.
Gathering necessary supplies for possible intubation.
Assessing the child's throat using a tongue blade.
Reporting an elevated white blood count to the health care provider.
The Correct Answer is C
A. Assessing vital signs, including temperature and oxygen saturation, is appropriate for monitoring the child's condition and identifying any signs of respiratory distress or infection.
B. Gathering necessary supplies for possible intubation is a proactive measure in case the child experiences airway obstruction. Acute epiglottitis can lead to rapid deterioration in the child's airway.
C. Assessing the child's throat using a tongue blade can trigger airway obstruction in a child with acute epiglottitis, which is a medical emergency. The throat should not be examined visually due to the risk of causing a spasm or obstruction.
D. Reporting an elevated white blood count is a normal part of managing acute infections, such as epiglottitis, and should be done to inform the healthcare provider of the patient's condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Budesonide is an inhaled corticosteroid used for long-term asthma control and is not appropriate for immediate relief during an acute asthma attack.
B. Albuterol is a short-acting beta-agonist (SABA) and is the first-line medication for quickly relieving bronchospasm during an acute asthma attack.
C. Fluticasone is an inhaled corticosteroid, which is used for long-term asthma control but not for rapid relief during an acute episode.
D. Montelukast is a leukotriene receptor antagonist, used for long-term asthma control, and would not be effective for immediate relief during an acute attack.
Correct Answer is B
Explanation
A. Speech and communication abilities are important, but physical safety must come first to prevent accidents or injuries.
B. Safety measures are the highest priority, as children with cognitive impairments may have physical or developmental limitations that increase the risk of falls, accidents, or other harm.
C. Cognitive development and educational needs are important but should be addressed after ensuring
the child’s physical safety.
D. Social and emotional well-being are essential aspects of care, but the immediate focus should be on preventing harm.
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