A mother arrives at the hospital emergency department with her child, in whom a diagnosis of epiglottitis is documented. Which prescription, if written by the health care provider, should the nurse question?

A. Increased protein:While protein supports immune function, high-protein diet is not the priority in the acute phase of an upper respiratory infection. The client may also have decreased appetite, sore throat, or nasal congestion, making solid food difficult to consume.

B. Soft, bland diet:This may be suitable for gastrointestinal issues or during recovery from oral or throat surgery, but it is not specifically indicated for upper respiratory infections. It also doesn't provide adequate hydration, which is a key focus during respiratory illness.

C. Clear liquid:A clear liquid diet helps keep the client hydrated, soothes throat irritation, and is easier to tolerate during acute illness. Broths, juices, teas, and electrolyte fluids help thin mucus secretions and prevent dehydration, which supports symptom management and recovery.

D. The client should be held NPO until symptoms improve:There is no reason to keep a client with an upper respiratory infection NPO unless they are experiencing vomiting or altered consciousness. Doing so would risk dehydration and slow recovery.

A. Obtain a throat culture:Attempting to visualize or culture the throat in a child with epiglottitis is dangerous and can trigger laryngospasm, leading to sudden airway obstruction. Any procedure that manipulates the airway should be avoided.

B. Administer humidified oxygen:Humidified oxygen helps ease breathing and reduce airway irritation. It is a supportive measure that can be safely administered without disturbing the airway and is commonly used in cases of respiratory distress such as epiglottitis.

C. Administer acetaminophen for fever:Fever is a common symptom of epiglottitis, and acetaminophen can be safely used to reduce temperature and increase comfort. It poses no risk to airway integrity and supports symptomatic relief.

D. Obtain axillary temperatures:Using the axillary route avoids disturbing the oral cavity, making it a safe and appropriate method for monitoring temperature in a child with suspected or confirmed epiglottitis. It minimizes the risk of triggering airway complications.