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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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. Identifying a sour taste tests cranial nerves VII (facial) and IX (glossopharyngeal).

B. Cranial nerve XI (the spinal accessory nerve) controls the muscles involved in shoulder shrugging and head turning.

C. Frowning symmetrically assesses the facial nerve (VII).

D. Sticking out the tongue assesses the hypoglossal nerve (XII).

A. COPD B. Hypertension C. Dermatitis D. Smoking history E. Type 2 diabetes mellitus F. Hypothyroidism

Correct Answer is ["A","D","E"]

Explanation

A. COPD: Clients with chronic obstructive pulmonary disease (COPD) are at increased risk for pneumonia due to compromised lung function, chronic inflammation, and decreased mucociliary clearance, making it easier for pathogens to infect the lungs.

B. Hypertension: While hypertension is a significant cardiovascular risk factor, it does not directly increase the risk of pneumonia. Therefore, it is not a relevant factor in this case.

C. Dermatitis: Dermatitis is a skin condition and does not affect lung function or immunity in a way that would increase the risk of pneumonia.

D. Smoking history: Smoking damages the respiratory epithelium and impairs the immune defenses of the lungs, making smokers more susceptible to respiratory infections such as pneumonia.

E. Type 2 diabetes mellitus: Diabetes compromises immune function and increases the risk of infections, including pneumonia, due to hyperglycemia impairing neutrophil function and other immune responses.

F. Hypothyroidism: While hypothyroidism may cause some general symptoms such as fatigue, it does not directly compromise respiratory function or immunity in a way that increases the risk of pneumonia.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a neurological examination on a client as part of a complete physical assessment. The nurse should identify that cranial nerve XI is intact when the client performs which of the following actions?

Correct Answer is B

Explanation

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Correct Answer is ["A","D","E"]

Explanation

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