A nurse is administering corticosteroids to a child with epiglottitis.
What should the nurse monitor for as potential side effects of corticosteroid therapy?
Signs of adrenal insufficiency and hyperglycemia.
Decreased oxygen saturation levels.
Allergic reactions to the corticosteroids.
Increased sensitivity to antibiotics.
The Correct Answer is A
Choice A rationale:
The nurse should monitor for signs of adrenal insufficiency and hyperglycemia as potential side effects of corticosteroid therapy.
Corticosteroids can suppress the adrenal glands, leading to adrenal insufficiency, which can manifest as weakness, fatigue, low blood pressure, and abdominal pain.
Hyperglycemia (elevated blood sugar levels) is a common side effect of corticosteroids and can worsen diabetes or predispose non-diabetic individuals to high blood sugar levels.
Choice B rationale:
Decreased oxygen saturation levels are not a common side effect of corticosteroid therapy.
Corticosteroids help reduce airway inflammation, which can actually improve oxygenation in conditions like epiglottitis by reducing airway obstruction and respiratory distress.
Choice C rationale:
Allergic reactions to corticosteroids are possible, but they are relatively rare.
Symptoms of an allergic reaction can include rash, itching, swelling, severe dizziness, or difficulty breathing.
While allergic reactions are a concern with any medication, they are not the primary side effect that nurses should monitor for when administering corticosteroids.
Choice D rationale:
Increased sensitivity to antibiotics is not a known side effect of corticosteroid therapy.
Corticosteroids work by suppressing the immune response and reducing inflammation, but they do not affect the body's sensitivity to antibiotics.
Antibiotic effectiveness is determined by factors such as the specific antibiotic used, the type of bacteria causing the infection, and antibiotic resistance patterns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale:
Administering antibiotics intravenously as prescribed is a crucial intervention in the management of epiglottitis.
Epiglottitis is commonly caused by bacterial infections, and intravenous antibiotics are essential to target the underlying infection and prevent its spread.
The choice of antibiotic should be based on the specific causative organism and local antibiotic resistance patterns.
Choice B rationale:
Administering corticosteroids intravenously as prescribed is another important intervention in the supportive care of epiglottitis.
Corticosteroids help reduce airway inflammation, which is a significant concern in epiglottitis.
By decreasing inflammation, corticosteroids can alleviate respiratory distress and improve the patient's breathing.
Choice C rationale:
Providing hydration and nutrition by intravenous fluids is necessary in the management of epiglottitis, especially if the child is having difficulty swallowing or breathing.
Intravenous fluids ensure that the child receives adequate hydration and nutrition while minimizing the risk of aspiration, which can worsen the airway obstruction.
Choice E rationale:
Providing humidified air or cool mist therapy to moisten the airway is a supportive measure that can help ease breathing difficulties in children with epiglottitis.
Humidified air or cool mist therapy can soothe the inflamed airway, making it easier for the child to breathe.
It is essential to maintain a moist environment to prevent further irritation and discomfort.
Choice D rationale:
Educating the child and family about the prevention of epiglottitis is important for overall health awareness, but it is not a direct supportive intervention for a child already diagnosed with the condition.
While prevention strategies, such as timely vaccinations and good hygiene, are crucial, they do not constitute immediate supportive care for a child with active epiglottitis.
Correct Answer is D
Explanation
Choice A rationale:
Difficulty swallowing and throat pain are common symptoms of epiglottitis, but they do not necessarily indicate the severity of the condition.
Choice B rationale:
Feeling anxious and restless may be a sign of distress, but it does not specifically indicate the severity of epiglottitis.
Choice C rationale:
Making a high-pitched sound when breathing (called stridor) is a serious symptom indicating airway obstruction.
While this is concerning, it is not the most critical manifestation in evaluating the severity of epiglottitis.
Choice D rationale:
Cyanosis, characterized by a bluish discoloration of the skin and lips, indicates severe lack of oxygen and is a critical sign in assessing the severity of epiglottitis.
Cyanosis suggests inadequate oxygenation and is indicative of impending respiratory failure, requiring immediate medical intervention.
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