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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. Holding breath for 10 seconds after inhaling the medication allows for better absorption of the medication in the lungs, indicating understanding of proper inhaler technique.

B. Taking a quick inhalation is incorrect; the client should take a slow, deep breath to ensure the medication reaches the lungs effectively.

C. Waiting 10 minutes between inhalations is not necessary unless specifically instructed; usually, a second puff can be taken after 1-2 minutes if needed.

D. The client should exhale before inhaling the medication, not while it is being released; exhaling first clears the lungs for a more effective inhalation.

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