A nurse in an emergency department is caring for a 3-year-old child who has suspected epiglottitis. Which of the following actions should the nurse include in the plan nurse take?
Prepare a cool mist tent.
Suction the child's oropharynx.
Prepare to assist with intubation.
Obtain a throat culture.
The Correct Answer is C
A. A cool mist tent may be helpful for other respiratory conditions but is not the priority in epiglottitis.
B. Suctioning the oropharynx can cause further airway irritation and increase the risk of airway obstruction.
C. Epiglottitis can rapidly lead to airway obstruction, and intubation may be necessary to secure the airway.
D. Obtaining a throat culture is contraindicated as it may trigger airway closure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Privately interviewing the client is the first step in assessing the possibility of elder abuse and gathering detailed information.
B. Notifying risk management is necessary after abuse is confirmed or suspected, but it is not the first step.
C. Informing the transferring agency is not appropriate until further investigation.
D. Contacting the family may not be appropriate if they are suspected of abuse.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
- Hypostatic pneumonia: The client's immobility due to paraplegia increases the risk of fluid accumulation in the lungs, leading to infection.
- Immobility: Prolonged immobility is a significant risk factor for hypostatic pneumonia, as it impairs normal lung drainage and promotes bacterial growth
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