The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?

Absence of spontaneous cough and dysphonia

Generalized skin flushing

Coarse tremors and splenomegaly

Harsh, productive cough and rhinorrhea

Answer and Explanation

The Correct Answer is A

A. In epiglottitis, there is typically an absence of spontaneous cough because of severe airway obstruction. Dysphonia (difficulty speaking) is also common due to swelling of the epiglottis.

B. Generalized skin flushing is not a common finding in epiglottitis.

C. Coarse tremors and splenomegaly are not associated with epiglottitis.

D. A harsh, productive cough and rhinorrhea are more common with viral respiratory infections, not epiglottitis.

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Correct Answer is D

Explanation

A. Itching and tenderness when manipulating the affected ear lobe is more characteristic of an external ear infection (otitis externa) rather than acute otitis media.

B. Fullness in the ear and a clogged sensation might be experienced in acute otitis media, but it usually occurs with systemic signs of infection such as fever and pain.

C. Edema and erythema of the external canal only would indicate an external ear infection (otitis externa), not otitis media, which affects the middle ear.

D. Pulling on the affected ear, acute onset of fever, and otalgia (ear pain) are classic signs of acute otitis media. Children often pull or tug at the affected ear in response to pain.

A. Respiratory Syncytial Virus (RSV) B. Haemophilus influenzae type B C. Adenovirus D. Rhinovirus

Correct Answer is A

Explanation

A. Respiratory Syncytial Virus (RSV) is the most common cause of bronchiolitis, particularly in infants and toddlers.

B. Haemophilus influenzae type B causes epiglottitis and other respiratory infections but is not a leading cause of bronchiolitis.

C. Adenovirus can cause respiratory infections but is not the primary pathogen for bronchiolitis.

D. Rhinovirus causes the common cold but is not typically responsible for bronchiolitis.

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The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?

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Naxlex Comprehensive Predictor Exams

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The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?