A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take

Obtain a throat culture.

Visualize the epiglottis with a tongue depressor

Place the child in an upright position

Transport the child to radiology for a throat x-ray

Answer and Explanation

The Correct Answer is C

A. Obtaining a throat culture and B. visualizing the epiglottis with a tongue depressor are not safe actions for the nurse to perform without appropriate medical equipment and expertise. These actions can trigger a sudden airway obstruction in a child with epiglottitis. The priority is to ensure airway patency and seek immediate medical assistance.

C. Place the child in an upright position.

Suspected epiglottitis is a medical emergency that can result in rapid airway obstruction. Placing the child in an upright position helps improve airflow by allowing the throat to open and reduces the risk of complete airway obstruction. It's important not to perform invasive procedures (such as throat culture or visualization of the epiglottis) without proper medical equipment and expertise, as these actions can lead to worsening airway obstruction.

D. Transporting the child to radiology for a throat x-ray is not appropriate in this situation, as it may delay necessary interventions to secure the airway.

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Correct Answer is B

Explanation

A. Applying a warm soak to the knee: Heat application is generally not recommended during a vaso-occlusive crisis because it can worsen inflammation and pain.

B. Administering Acetaminophen.

Vaso-occlusive crises are a common complication of sickle cell disease, and they can lead to severe pain. Acetaminophen (Tylenol) is an appropriate choice for pain management in this situation. It is a non-steroidal anti-inflammatory drug (NSAID) that can help alleviate pain.Pain control is the priority in these situations.

C.Compression wraps can potentially exacerbate ischemia and increase the risk of complications.

D.Adequate hydration is essential during a crisis to prevent further sickling of red blood cells. Reducing fluids could exacerbate the condition

A. 1 day B. 8 to 10 days C. 5 to 7 days D. 2 to 3 days

Correct Answer is C

Explanation

A. Introducing new foods every day does not allow sufficient time to monitor for adverse reactions.

B. Waiting 8 to 10 days between introducing new foods is a longer interval than typically recommended. It may unnecessarily delay the introduction of a variety of foods to the infant's diet.

C. 5 to 7 days.

When introducing new foods to an infant, it's important to do so gradually to monitor for any potential allergic reactions or sensitivities. Waiting 5 to 7 days between introducing new foods allows for observation of any adverse reactions, such as allergies or digestive issues. This approach helps in identifying the specific food responsible for any adverse reactions and ensures the infant's safety.

D. Waiting 2 to 3 days is too short of an interval to adequately monitor for adverse reactions. Waiting 5 to 7 days provides a better balance between introducing new foods and monitoring for potential issues.

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A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take

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