During the nursing assessment of a child with suspected epiglottitis, the nurse observes that the child is drooling and has difficulty managing secretions.
Which statement made by the child would be most concerning for the nurse?

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.

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.