A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?

Obtain an x-ray of the child's neck

Administer intravenous antibiotics

Initiate droplet precautions

Place intubation equipment at the bedside.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Obtaining an x-ray of the child's neck may be necessary for diagnosis, but ensuring immediate safety and infection control measures take precedence.

B. Administering intravenous antibiotics is important in the treatment of epiglottitis but is not the immediate priority.

C. Initiating droplet precautions is crucial in this case to prevent the spread of infection to others but is not as important as securing the airway.

D. Placing intubation equipment at the bedside is the first priority because epiglottitis can cause airway obstruction and respiratory distress.

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Correct Answer is B

Explanation

Rationale:

A. Retesting in a week may be necessary, but notifying the public health department is a more immediate concern.

B. Notifying the public health department is essential for contact tracing and preventing the spread of syphilis.

C. Involving the patient's parents may not be appropriate for a 20-year-old patient.

D. Metronidazole is not typically used to treat syphilis; penicillin or other antibiotics are the standard treatment.

A. Odorless urine B. No report of pain with voiding C. Urine output 256 mL over 8 hr D. Temperature 37.2° C (99° F)

Correct Answer is C

Explanation

Rationale:

A. Odorless urine may be an indicator of improved hydration status but does not directly reflect the effectiveness of treatment for nephrotic syndrome.

B. Absence of pain with voiding may indicate resolution of urinary tract symptoms but is not a specific indicator of treatment effectiveness for nephrotic syndrome.

C. Increased urine output indicates improved renal function, which is a primary goal of treatment for nephrotic syndrome, making this the most appropriate indicator of treatment effectiveness.

D. Temperature within normal range is not a direct indicator of treatment effectiveness for nephrotic syndrome.

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A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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