A nurse is caring for a pre-school age child who has epiglottitis and presents with a high fever, drooling, and a muffled voice. Which of the following actions should the nurse take?
Use a tongue depressor to observe the epiglottis.
Initiate airborne precautions.
Monitor oxygen saturation.
Obtain a throat culture.
The Correct Answer is C
A. Using a tongue depressor can provoke spasm of the epiglottis and lead to airway obstruction; therefore, this action is contraindicated in a child with epiglottitis.
B. Airborne precautions are not necessary for epiglottitis; droplet precautions are more appropriate due to the risk of transmission.
C. Monitoring oxygen saturation is critical in this situation to assess the child's respiratory status and ensure adequate oxygenation, making it the most appropriate action.
D. Obtaining a throat culture may not be safe or practical in this scenario, as it can provoke further distress and complications; immediate assessment and stabilization are prioritized.
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Correct Answer is C
Explanation
A. While constipation can be a side effect of iron supplements, taking them between meals is primarily aimed at improving absorption rather than preventing constipation.
B. Taking iron supplements with food does not specifically increase the risk of esophagitis; instead, it is known to interfere with the absorption of iron.
C. Taking ferrous sulfate between meals optimizes its absorption because food, particularly dairy products, caffeine, and some high-fiber foods, can inhibit the absorption of iron.
D. Although iron supplements can cause nausea, it is more effective to take them between meals for better absorption rather than solely to prevent nausea.
Correct Answer is A
Explanation
A. Crushed ice is appropriate after a tonsillectomy as it can help soothe the throat and is a clear liquid that is easy for the child to swallow.
B. Cranberry juice is acidic, which can irritate the throat and is generally not recommended immediately after tonsillectomy.
C. Orange juice is also acidic and could cause discomfort to the healing throat tissues, making it unsuitable for post-operative care.
D. A vanilla milkshake may be too thick for the child to swallow comfortably after surgery and can pose a risk of choking.