The nurse employed in an emergency department is monitoring a child diagnosed with epiglottitis. The nurse notes that the child is leaning forward with the neck extended. How would the nurse interpret this finding? -
Extreme fatigue
An airway obstruction
Presence of pain
Presence of dehydration
The Correct Answer is B
A. Extreme fatigue is not indicated by this positioning.
B. The child’s forward-leaning position with neck extension is a classic sign of epiglottitis, where the child is attempting to open the airway and facilitate breathing in response to obstruction.
C. Pain may be present, but the positioning is primarily related to an attempt to alleviate airway obstruction.
D. Dehydration would not typically cause this specific positioning.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E","F"]
Explanation
A. Household smoking increases the risk of otitis media by irritating the respiratory tract and impairing immune function.
B. A history of urinary tract infections is not a risk factor for otitis media.
C. Exposure to illness in daycare centers or schools increases the likelihood of respiratory infections, which can lead to otitis media.
D. Native American ethnicity has a higher incidence of otitis media, likely due to genetic and environmental factors.
E. Absence of breastfeeding increases the risk of otitis media because breastfeeding provides immune protection.
F. Craniofacial anomalies (e.g., cleft palate) increase the risk of otitis media due to poor Eustachian tube function and chronic ear infections.
Correct Answer is B
Explanation
A. Turner syndrome is a chromosomal disorder affecting females and does not typically coincide with VSD.
B. Trisomy 18 (also called Edwards syndrome) is a chromosomal disorder that often presents with congenital heart defects, including VSD.
C. Spina bifida is a neural tube defect and is not directly related to VSD.
D. Trisomy 21 (Down syndrome) may have congenital heart defects but is not specifically associated with VSD as commonly as trisomy 18.
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