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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Correct Answer is C
Explanation
A. A soft, non-tender abdomen would be normal and not suggestive of any specific pathology.
B. A normal appearing perineum would not be expected with an anorectal malformation, which typically presents with a visible defect in the perineum.
C. Meconium leakage via the vagina or urethra is a possible sign of an anorectal malformation. This could occur if there is a fistula connecting the gastrointestinal tract to the urinary or genital tract.
D. Poor sucking reflex is not directly associated with anorectal malformations but may occur in certain other conditions, such as central nervous system issues.
Correct Answer is D
Explanation
A. While written communication may be helpful for some children, it is not the primary recommendation for those with hearing loss. Other methods, such as sign language, are more effective for communication.
B. Avoiding social interaction is not recommended. Social interaction is important for the child's development and emotional well-being, and it should be encouraged.
C. While avoiding contact with sick individuals is generally good advice to prevent infections, it does not directly address communication strategies for children with hearing loss.
D. Interacting using American Sign Language is highly beneficial for children with hearing loss. It provides an effective method for communication, especially when auditory devices like hearing aids or cochlear implants are not sufficient on their own. This choice fosters inclusion and supports language development.
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