A nurse is assessing a child with suspected epiglottitis.
Which clinical manifestation should the nurse prioritize when evaluating the severity of the condition?

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.

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.