Latex allergy is suspected in a child with spina bifida. What intervention should be included in the child's plan of care?

A. Headache is correct because severe pre-eclampsia is associated with hypertension, cerebral edema, and vascular changes, which often manifest as persistent, severe headaches. This is a classic symptom and one of the warning signs of possible progression to eclampsia, which may include seizures.

B. Tachycardia is incorrect because patients with pre-eclampsia often have normal or slightly elevated heart rates, but tachycardia is not a hallmark sign. Bradycardia can sometimes occur if severe hypertension triggers reflex responses, but it is not expected as a defining feature.

C. Diplopia is incorrect because visual disturbances in pre-eclampsia are usually blurred vision, scotomata (spots in vision), or transient visual changes, rather than double vision. While visual symptoms are common, diplopia specifically is less typical.

D. Polyuria is incorrect because pre-eclampsia often causes oliguria, not polyuria, due to renal vasoconstriction and reduced glomerular filtration. Polyuria would be more indicative of conditions like gestational diabetes or diabetes insipidus, not pre-eclampsia

A. Rhinorrhea, congestion, mild sore throat, and hoarseness is incorrect because these are typical symptoms of a common upper respiratory infection, such as viral pharyngitis or the common cold. Epiglottitis presents much more acutely and severely.

B. Sudden onset of cough, wheezing, rapid breathing, and difficulty swallowing is incorrect because wheezing is more characteristic of lower airway obstruction, such as asthma or bronchiolitis, rather than epiglottitis, which affects the supraglottic area.

C. Difficulty swallowing, drooling, hoarseness, and sitting in a tripod position is correct because epiglottitis is a rapidly progressing, life-threatening inflammation of the epiglottis. Key clinical signs include drooling due to difficulty swallowing, dysphagia, hoarseness or muffled voice, tripod posture to maximize airway patency, high fever, and a toxic appearance.

D. Hoarseness, stridor, and a barking cough is incorrect because these findings are more consistent with croup (laryngotracheobronchitis). Croup usually develops gradually and presents with a barking cough, low-grade fever, and inspiratory stridor, unlike the acute and severe presentation of epiglottitis.