A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.

Inspect the epiglottis.

Obtain a throat culture.

Monitor oxygen saturation.

Begin droplet precautions.

Initiate IV access.

Answer and Explanation

Correct Answer : C,D,E

A.   Inspecting the epiglottis is contraindicated in suspected cases of epiglottitis as it may trigger laryngospasm and compromise the airway.
B.   Obtaining a throat culture may be indicated to confirm the presence of Haemophilus influenzae type B but is not an immediate priority in the management of epiglottitis.
C.   Monitoring oxygen saturation is crucial as respiratory distress and hypoxia are common complications of epiglottitis.
D.   Beginning droplet precautions is important to prevent the spread of the infectious agent to others.
E.   Initiating IV access is necessary for administering fluids and medications, as well as for potential airway management in severe cases of epiglottitis.

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Correct Answer is D

Explanation

A. Offering sips of water 4 hours following surgery may be too early and could increase the risk of aspiration in the immediate postoperative period.
B. Ambulation 12 hours following surgery may not be appropriate depending on the extent of the surgery and the patient's condition. It's important to follow physician orders regarding activity and mobilization.
C. Maintaining the head of the bed at a 30° angle may help prevent respiratory complications but is not specific to scoliosis repair with spinal instrumentation.
D. Logrolling the adolescent every 2 hours helps to prevent complications such as pressure ulcers and maintains proper alignment of the spine postoperatively.

A. Stevens-Johnson syndrome B. Hypertension C. Prolonged wound healing D. Bradypnea

Correct Answer is D

Explanation

A. Stevens-Johnson syndrome is a severe adverse reaction associated with certain medications but is not typically associated with morphine.
B. Hypertension is not a common adverse effect of morphine; hypotension may occur instead.
C. Prolonged wound healing is not typically associated with morphine use.
D. Bradypnea (slow breathing) is a potential adverse effect of opioid medications such as morphine.

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A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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