A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?

A. Droplet precautions are important for preventing the spread of infections that are transmitted through respiratory droplets. Since epiglottitis can be caused by Haemophilus influenzae type B (Hib), which is a bacterium that can spread via respiratory droplets, initiating droplet precautions is necessary to protect others from infection
B. Initiating intravenous (IV) access is an appropriate action because children with epiglottitis may need urgent and potentially life-saving treatments, such as antibiotics or corticosteroids. IV access allows for the rapid administration of medications and fluids, which is critical for managing severe infections and supporting the child's condition.
C. Inspecting the epiglottis directly, such as by using a tongue depressor or other instruments, can be dangerous in the case of epiglottitis. The inflammation and swelling of the epiglottis can cause airway obstruction, and manipulating the throat area may worsen the child's condition or lead to sudden airway compromise. It is generally safer to avoid direct inspection and rely on imaging studies if needed.

D. Monitoring oxygen saturation is essential in the management of epiglottitis. Children with this condition may experience compromised airway and breathing difficulties, so continuous monitoring of oxygen saturation helps ensure adequate oxygenation and early detection of any respiratory distress or hypoxia.
E. Obtaining a throat culture can be helpful for diagnosing the specific pathogen causing epiglottitis, but it should be done with caution. Invasive procedures like throat cultures should ideally be avoided in acute cases of epiglottitis due to the risk of exacerbating airway obstruction. Diagnostic procedures are typically handled with caution and may be deferred until after initial stabilization and treatment.

A. Walking the bicycle through intersections helps the child avoid potential accidents. At intersections, visibility and the potential for sudden, unexpected vehicle movements make walking the bike a safer option than riding through. This practice reduces the risk of collisions and allows the child to be more cautious when crossing streets.
B. The recommended safety distance for cyclists from the curb is usually at least 3 feet, but this can vary by location and specific traffic laws. Keeping a safe distance from the curb is important to avoid hazards like debris and to ensure a buffer from parked cars or other obstacles.
C. When seated on the bicycle, the child’s feet should be able to touch the ground to maintain balance and safety when stopped. The 3 to 6 inches off the ground guideline ensures the bike is appropriately sized for the child, allowing them to maintain control and stability while riding. If the child cannot touch the ground with their feet, they may struggle with stopping and balancing the bicycle.

D. Bicyclists should always ride with the flow of traffic. Riding against traffic increases the risk of collisions because drivers are not expecting cyclists coming from the opposite direction. Riding with traffic allows drivers to anticipate the cyclist’s movements and helps ensure better visibility and safety.