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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. Sinus tachycardia: Incorrect. Sinus tachycardia shows a regular rhythm with identifiable P waves, not a wavy baseline.

B. Atrial fibrillation: The wavy baseline with no identifiable P waves and an irregular rhythm is characteristic of atrial fibrillation.

C. Second-degree heart block: Incorrect. Second-degree heart block shows a regular rhythm with some dropped QRS complexes, not a wavy baseline.

D. Ventricular asystole: Incorrect. Ventricular asystole shows no electrical activity, not a wavy baseline.

A. Keeping a promise to visit with a client who is housebound after the delivery of care B. Being honest with the parents of a child about the need to report suspected abuse C. Accepting the decision of an older adult client to live alone in her home D. Ensuring that a client who is homeless receives preventive medical care

Correct Answer is D

Explanation

A. Keeping a promise to visit a housebound client reflects fidelity, not distributive justice.

B. Being honest with the parents about reporting suspected abuse demonstrates veracity.

C. Accepting a client's decision to live alone represents autonomy.

D. Ensuring equitable access to healthcare for a homeless client aligns with distributive justice, which focuses on the fair allocation of resources to all individuals, especially vulnerable populations.

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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

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