Epiglottitis

Which is the nurses best response to the parent of a child diagnosed with epiglottitis who ask what the treatment will be a. Complete a course of IV antibiotics b. Surgery to remove the tonsils c. 10 days of aerosolized ribavirin d. no intervention

A (bacterial)

The nurse is examining a child with acute epiglottitis what items should the nurse have available a. cool mist humidifier b. intubation equipment c. tongue blades d. viral culture medium

B

Which child is in greatest need of emergency medical treatment a. Three-year-old who has a barky cough is afebrile and has mild intercostal retractions b. Six-year-old who has a high fever no spontaneous cough and frog like croaking c. seven-year-old who has abrupt onset of moderate respiratory distress a mild fever and a barky cough d. 13-year-old who has a high fever stridor and purulent secretions

B

the nurse observes an 18mo who has been admitted with respiratory tract infection who is drooling and sitting forward with an open mouth and has a protruding tongue. the nurse should first a.position the child supine b. call the rapid repsonse team c. suction the airway d. administer oxygen

B (Epiglottis)

nurse is assesing a child recently brough to ED. based on the notes, which observations would cause the nurse to suspect epiglottitis a.excessive crying b. drooling c. low grade fever d. spontaneous cough e. refusal to lie down

B, E

which is diagnostic for epiglottitis a. Blood test b. Throat swab c. lateral neck x-ray of the soft tissue d. signs and symptoms

C

which strategy is the best plan of care for a child with acute epiglottitis a. encourage oral fluids for hydration b. maintain the client in a semi fowlers position c. administer IV antibiotic therapy d. maintaining respiratory isolation for 48 hours

C (bacterial)

A three-year-old child is diagnosed with acute epiglottitis which sign would indicate to the nurse the child respiratory distress is increasing a. Progressive barking cough b. Increasing irritability c. increasing heart rate d. productive cough

C (early sign of hypoxia)

A mother is crying and tells the nurse that she should've brought her son in yesterday when he said his throat was sore which is the nurses best response to this parent who's child is diagnosed with epiglottitis and is in severe distress and in need of intubation a. Children this age really get epiglottitis you should not blame yourself b. It is always better to have your child evaluated at the first sign of illness rather than wait until symptoms worsen c. epiglottitis is slowly progressive so early intervention may decrease the extent of your son symptoms d. Epiglottitis is rapidly progressive you could not have predicted his symptoms would worsen so quickly

D

What should be the nurses first action with a child who has a high fever dysphasia drooling tachycardia and tachypnea a. Immediate IV placement b. Immediate respiratory treatment c. Thorough physical assessment d. Lateral neck radiographs

D

A two-year-old child is brought to the ER in respiratory distress a child is drooling sitting upright in lean forward which interest out mouth open and tongue protruding which nursing intervention is most appropriate a. check the child gag reflex with the tongue blade b. allow the child to cry to keep the lungs expanded c. check the airway for a foreign body obstruction d. support the child in an upright position on the parents lap

D (ease work of breathing and avoid aspiration)

Real child is given a preliminary diagnosis of acute epiglottitis which initial nursing intervention is most appropriate a. Obtain a throat culture b. place the child in a side lying position c. have a emergency airway equipment readily available d. obtain blood cultures

c

The nurse what would withhold a Haemophilus influenza type B vaccine for a six month old infant if infant has a. Runny nose and cough b. history of fever of 100.7 after the HIB vaccine c. current temperature of 101.8 d. history of seizures after previous DTaP administration

c