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A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

A.

Administer 0.9% sodium chloride IV solution.

B.

Place the child on droplet precautions.

C.

Initiate IV antibiotics.

D.

Assist with obtaining an x-ray of the child's neck.

Answer and Explanation

The Correct Answer is B

A. Administering IV fluids may be necessary but is not the first priority in managing a suspected airway emergency.  

 

B. Placing the child on droplet precautions is the first action to take to prevent the spread of infection and protect healthcare workers, given the suspected diagnosis of epiglottitis.  

 

C. Initiating IV antibiotics is essential but should follow ensuring that appropriate precautions and assessments are in place.  

 

D. While obtaining an x-ray can confirm the diagnosis, the child's safety and airway management must be prioritized first to avoid potential respiratory distress.  


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Correct Answer is D

Explanation

A. Avoiding all oily foods is not necessary, as dietary factors have varying effects on acne; instead, moderation is key.

B. Popping pimples can lead to scarring, infection, and further inflammation, making this an inappropriate recommendation for acne management.

C. Using strong astringents can irritate the skin and worsen acne; gentle skin care is more effective for maintaining healthy skin.

D. Washing the face with a gentle cleanser twice a day helps to remove excess oil and dirt without irritating the skin, which is the most appropriate recommendation for managing acne during puberty.

Correct Answer is A

Explanation

A. Distributive shock, particularly in the context of anaphylaxis, is characterized by widespread vasodilation that leads to a decrease in systemic vascular resistance and impaired blood flow to organs despite normal or increased cardiac output.

B. This option is incorrect because distributive shock involves decreased systemic vascular resistance due to vasodilation rather than an increase.

C. This statement describes hypovolemic shock, not distributive shock. Distributive shock is not primarily caused by the loss of blood volume.

D. While loss of myocardial contractility can lead to cardiogenic shock, it is not the mechanism behind distributive shock, which is related to vascular tone rather than heart function.

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