A nurse is providing education to the parents of a 4-year-old child with acute epiglottitis. The nurse recognizes that the parents need further teaching when they make which of the following statements?

My child may experience a lower temperature than normal.

My child may be placed on Ceftriaxone

My child may have difficulty swallowing.

My child may need to be placed on oxygen.

Answer and Explanation

The Correct Answer is A

A.   Children with acute epiglottitis typically experience a high fever, not a lower temperature. A fever is a common sign of infection in this condition.
B.   Ceftriaxone is commonly used in the treatment of acute epiglottitis, as it is effective against the bacteria that commonly cause this infection.
C.   Difficulty swallowing (dysphagia) is a common symptom of acute epiglottitis due to swelling in the throat.
D.   Oxygen therapy may be required to ensure adequate oxygenation in a child with acute epiglottitis due to airway obstruction.

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Correct Answer is ["C","D","E"]

Explanation

A. Although facial pain could be concerning, it is not the immediate priority when the child has a history of atlantoaxial instability and is presenting with signs that could indicate spinal cord compression. Facial pain does not suggest a direct threat to the spinal cord, which is a more critical concern in this case.
B. Continuous neck pain in a child with atlantoaxial instability is a significant priority and requires immediate intervention. This could be a sign of spinal cord compression or injury to the cervical spine, which can occur after trauma such as a fall. Since this child has a predisposition for atlantoaxial instability, there is a high risk for neck instability and spinal cord injury, making this a top priority.
C. While lower extremity pain may be concerning, it is not as high a priority as neck pain in this context. The primary concern here is potential spinal cord compression or neurological injury. If the child is able to move their extremities or does not have severe pain or weakness, this may not require as urgent intervention. However, it should still be monitored closely.
D. Loss of bladder control is a red flag in children with suspected spinal cord injury. It can indicate nerve involvement in the spinal cord or cauda equina, which can be caused by injury or compression, particularly in a child with atlantoaxial instability. This requires priority intervention to prevent further damage and to initiate appropriate care (e.g., neurological assessment, imaging, and potentially surgical intervention).
E. The loss of established motor skills is another concerning sign. In this child, it may indicate neurological impairment or spinal cord injury. Since the child has atlantoaxial instability, this is a critical symptom that suggests the possibility of spinal cord compression or injury, requiring immediate evaluation and intervention to prevent permanent neurological damage.

A. Normal feeding and swallowing B. Sunken abdomen C. Excessive drooling D. Respiratory distress E. Coughing or choking during feeding

Correct Answer is ["C","D","E"]

Explanation

A. Normal feeding and swallowing would not be expected in a newborn with TEF, as they typically have difficulty feeding and may choke or cough.
B. Sunken abdomen is not a typical finding for TEF.
C. Excessive drooling is a common symptom due to the inability to swallow saliva properly.
D. Respiratory distress is a hallmark sign of TEF, as the fistula can lead to aspiration and breathing difficulties.
E. Coughing or choking during feeding is another classic sign of TEF due to the abnormal connection between the esophagus and the trachea.

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A nurse is providing education to the parents of a 4-year-old child with acute epiglottitis. The nurse recognizes that the parents need further teaching when they make which of the following statements?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["C","D","E"]

Explanation

The nurse is caring for a newborn with a diagnosis of tracheoesophageal fistula (TEF). Which of the following assessment findings may be present in a newborn with TEF? (Select All that Apply.)

Correct Answer is ["C","D","E"]

Explanation

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