A nurse is providing education to a child and their family about the prevention of epiglottitis.
What information should the nurse include in the education?
The importance of oral medications to relieve symptoms.
The signs and symptoms of epiglottitis.
Avoiding complete immunization against Hib.
Using nebulized medications for treatment.
The Correct Answer is B
Choice A rationale:
The importance of oral medications to relieve symptoms is relevant, but it doesn't specifically prevent epiglottitis.
Preventive measures like vaccination are more crucial in avoiding the condition.
Choice B rationale:
Educating the child and their family about the signs and symptoms of epiglottitis is essential for early recognition and prompt medical intervention.
Understanding the symptoms can lead to quicker medical attention, which is vital in managing epiglottitis effectively.
Choice C rationale:
Avoiding complete immunization against Hib is not a recommended practice.
Hib vaccination significantly reduces the risk of epiglottitis caused by Hib bacteria.
Encouraging complete immunization is a key preventive measure against the disease.
Choice D rationale:
Using nebulized medications for treatment might be a part of the management plan if the child already has epiglottitis, but it's not a preventive measure.
Prevention focuses on vaccination and awareness of symptoms, making choice D less relevant in the context of prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Administering antibiotics intravenously is important in treating the infection, but it doesn't directly address maintaining a patent airway.
The priority in epiglottitis is to ensure an open airway to prevent respiratory distress.
Choice B rationale:
Providing humidified air or cool mist therapy helps moisten the airway, making it easier for the child to breathe.
This intervention can provide immediate relief and aid in maintaining a patent airway, which is crucial in epiglottitis.
Choice C rationale:
Administering corticosteroids intravenously can help reduce inflammation, but it might not be the primary intervention to maintain a patent airway.
Humidified air therapy directly addresses airway moisture, which is essential in epiglottitis management.
Choice D rationale:
Administering analgesics and antipyretics can address pain and fever associated with epiglottitis but does not directly contribute to maintaining a patent airway.
While these medications can improve the child's comfort, they are not the priority in this situation.
Correct Answer is D
Explanation
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.
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