A nurse is assessing a child with suspected epiglottitis.
Which clinical manifestation should the nurse prioritize when evaluating the severity of the condition?
"I can't swallow, and my throat hurts.”..
"I feel anxious and restless.”..
"I'm making a high-pitched sound when I breathe.”..
"My skin and lips look bluish.”..
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A rationale:
Haemophilus influenzae type b (Hib) infection is a significant risk factor for epiglottitis in children.
Hib vaccination has significantly reduced the incidence of epiglottitis caused by this bacterium.
Choice B rationale:
Trauma to the throat or neck is not a common risk factor for epiglottitis.
The primary cause is bacterial infection, especially by Hib bacteria.
Choice C rationale:
Thermal injury from hot liquids can lead to thermal epiglottitis, a rare condition caused by the inhalation of hot steam or liquid, resulting in inflammation and swelling of the epiglottis.
Choice D rationale:
Seasonal factors are not a direct risk factor for epiglottitis.
The condition is primarily caused by bacterial infections and is not significantly influenced by seasonal changes.
Choice E rationale:
Mycoplasma pneumoniae infection is not a common cause of epiglottitis.
Bacterial infections, especially Hib, are the primary culprits in pediatric cases of epiglottitis.
Correct Answer is D
Explanation
Choice A rationale:
Epiglottitis is not necessarily more common in females than in males.
It can affect both genders equally.
Choice B rationale:
While epiglottitis is more common in children, it primarily affects those between the ages of 2 and 8 years old, not just infants under 1 year old.
Choice C rationale:
There is no significant evidence to suggest that epiglottitis is more prevalent in colder months.
The occurrence of epiglottitis is not strictly related to seasonal changes.
Choice D rationale:
Children between 2 and 8 years old are at higher risk of developing epiglottitis.
This age group is more susceptible due to their smaller airways and less developed immune systems, making them prone to infections like epiglottitis.
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