A 3-year-old child comes to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaning forward, tongue protruding, drooling and suprasternal retractions.
What should the nurse do first?
A- Prepare the child for X-ray of upper airways
B- Examine the child’s throat
C- Collect a sputum specimen
D- Notify the healthcare provider of the child’s status
Answer: D:
Notify the health care provider of the child’s status
These findings suggest a medical emergency and may be due to epiglottitis.
Any child with an acute onset of an inflammatory response in the mouth and throat should receive immediate attention in a facility equipped to perform intubation or a tracheostomy in the event of further or complete obstruction.
A- Prepare the child for X-ray of upper airways
B- Examine the child’s throat
C- Collect a sputum specimen
D- Notify the healthcare provider of the child’s status
Answer: D:
Notify the health care provider of the child’s status
These findings suggest a medical emergency and may be due to epiglottitis.
Any child with an acute onset of an inflammatory response in the mouth and throat should receive immediate attention in a facility equipped to perform intubation or a tracheostomy in the event of further or complete obstruction.
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Practice Exam