A nurse is caring for a 4-year-old child suspected of having epiglottitis.
The child presents with a muffled voice and is leaning forward with outstretched arms.
Which statement regarding epiglottitis is accurate?

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.

Choice A rationale:

The statement "My throat is really sore.”.

is a common symptom of throat infections, including epiglottitis.

While it is concerning, it is not the most concerning symptom in this case.

Epiglottitis can rapidly progress, leading to respiratory distress, which is a life-threatening condition.

Choice B rationale:

The statement "I can't stop drooling.”.

is a significant concern in a child suspected of having epiglottitis.

Drooling and difficulty managing secretions are hallmark signs of epiglottitis and indicate compromised airway protection.

This symptom suggests that the epiglottis is inflamed and obstructing the airway, potentially leading to respiratory distress and the need for urgent intervention.

Choice C rationale:

The statement "I feel restless and agitated.”.

is a non-specific symptom and may be seen in various illnesses, including infections.

While it indicates the child's discomfort, it does not directly point to the severity of the condition or airway compromise, making it less concerning than the inability to handle secretions.

Choice D rationale:

The statement "I'm having trouble breathing.”.

is the most concerning symptom in a child suspected of having epiglottitis.

Difficulty breathing indicates significant airway obstruction, which can rapidly progress to respiratory failure.

This symptom requires immediate medical attention and intervention to secure the airway and prevent further complications.