A nurse is admitting a child who has acute epiglottitis.
Which of the following actions should the nurse take?
Check oxygen saturation every 4 hr.
Obtain a throat culture.
Assist the child into supine position.
Initiate droplet isolation precautions.
The Correct Answer is D
Choice A rationale:
Checking oxygen saturation every 4 hours is a monitoring parameter for patients with respiratory issues but is not the priority in a child with acute epiglottitis. Airway management and infection control are more critical in this situation.
Choice B rationale:
Obtaining a throat culture is important to confirm the diagnosis of epiglottitis. However, initiating isolation precautions and ensuring the child's airway is secure take precedence in the immediate care of a child with acute epiglottitis.
Choice C rationale:
Assisting the child into a supine position is contraindicated in acute epiglottitis. This position can further compromise the airway by obstructing it. The child should be allowed to sit in a position of comfort, usually sitting upright and leaning slightly forward.
Choice D rationale:
Initiating droplet isolation precautions is crucial when dealing with a suspected or confirmed case of epiglottitis. Epiglottitis is highly contagious and is transmitted via respiratory droplets. Isolation precautions help prevent the spread of the infection to others.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Providing a high-calorie, low-protein diet is not directly related to the management of osteomyelitis. However, proper nutrition is essential for overall healing and immune function.
Choice B rationale:
Encouraging frequent physical activity to increase bone mass is not appropriate for a child with osteomyelitis. Physical activity can worsen the condition and cause further damage to the affected bone.
Choice C rationale:
Maintaining a patent intravenous catheter is important for administering intravenous antibiotics, which are the mainstay of treatment for osteomyelitis. Ensuring that the catheter is functional and infection-free is crucial for the delivery of appropriate antibiotics to combat the infection.
Choice D rationale:
Initiating contact precautions is not necessary for osteomyelitis. Osteomyelitis is not typically spread through direct contact but results from the spread of bacteria through the bloodstream to the affected bone.
Correct Answer is ["B","D"]
Explanation
Choice A rationale:
Rotavirus is a common cause of diarrhea in children and is preventable by vaccination. However, it is not specifically indicated for a child with sickle cell anemia.
Choice B rationale:
Pneumococcal conjugate (PCV13) vaccine protects against infections caused by the bacteria Streptococcus pneumoniae, which can lead to severe complications in individuals with sickle cell anemia, including pneumonia and sepsis. Immunization with PCV13 is crucial to prevent these potentially life-threatening infections in individuals with sickle cell anemia.
Choice C rationale:
Measles, mumps, and rubella (MMR) vaccine is essential for preventing these viral infections. However, it is not directly related to the specific health needs of a child with sickle cell anemia.
Choice D rationale:
Respiratory syncytial virus (RSV) is a common respiratory virus that can cause severe respiratory infections in young children, especially those with underlying health conditions like sickle cell anemia. RSV immunization is important to prevent serious respiratory complications in these vulnerable individuals.
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