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 A

Explanation

A. The child is showing signs of severe respiratory distress, likely due to epiglottitis. The priority is to keep the child calm to avoid further airway obstruction and to prepare for emergency airway management.

B. While assessing the throat for epiglottitis is important, direct visualization of the throat can cause spasm and worsen airway obstruction.

C. The knee-to-chest position is typically used in cases of respiratory distress in infants (e.g., with RSV), but not in this case.

D. While IV access and fluids may be necessary, the immediate priority is securing the airway.

A. Household smoking B. A history of urinary tract infections C. Exposure to illness in daycare centers or schools D. Native American ethnicity E. Absence of breastfeeding F. Craniofacial anomalies

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.

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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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Correct Answer is A

Explanation

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Correct Answer is ["A","C","D","E","F"]

Explanation

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