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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Fruit juice is high in sugar and does not provide the same hydration as water. It is important to limit juice intake to avoid overconsumption of sugars and to encourage water as the primary fluid.
B. Allowing a toddler unlimited sweets and snacks is not advisable, as it can lead to poor nutritional habits and imbalanced diet. Picky eating should be addressed with nutritious alternatives, not by offering sweets.
C. Offering a variety of foods from different food groups ensures a balanced diet that includes essential nutrients for growth and development. This is the correct approach for toddler nutrition.
D. Dairy products are an important source of calcium and vitamin D for toddlers. Avoiding them without a medical reason can result in nutritional deficiencies.
Correct Answer is C
Explanation
A. Vibration is typically performed during exhalation, not inspiration. This helps to loosen secretions.
B. Percussion should not last 15 minutes per lung segment; it is generally performed for shorter periods to avoid discomfort or injury.
C. Administering albuterol prior to CPT helps open the airways, making it easier for the child to expectorate secretions. This is a standard practice for improving the effectiveness of CPT.
D. It is not recommended to perform CPT immediately after a meal, as it may increase the risk of aspiration or discomfort. It is usually advised to wait at least 30 minutes after eating.
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