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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Related Questions
Correct Answer is A
Explanation
A. Place a warm, moist compress on the site: This helps reduce the inflammation associated with phlebitis by promoting blood flow to the affected area and easing discomfort.
B. Insert a new IV catheter distal to the discontinued IV site: Incorrect. The site with phlebitis should not be used for a new IV insertion. A new, unaffected site should be chosen.
C. Apply a pressure dressing at the IV site: Incorrect. A pressure dressing is not required for phlebitis unless there is active bleeding.
D. Express drainage from the IV site and send it to be cultured: Incorrect. Expressing drainage is not a standard practice for phlebitis unless there is an indication of infection and purulent drainage.
Correct Answer is A
Explanation
A. Tidaling in the water seal chamber indicates normal fluctuations in pressure as the client inhales and exhales, signifying that the system is functioning properly.
B. Absence of tidaling may indicate that the lung has fully re-expanded.
C. A loop of tubing below the system can cause drainage issues but does not cause tidaling.
D. Clots can partially obstruct the tubing but would not cause regular tidaling.
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