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nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

A.

Visualize the epiglottis with a tongue depressor.

B.

Transport the child to radiology for a throat x-ray.

C.

Obtain a throat culture.

D.

Place the child in an upright position.

Answer and Explanation

The Correct Answer is D

A. Visualizing the epiglottis with a tongue depressor is contraindicated in suspected epiglottitis due to the risk of triggering airway obstruction.  

 

B. Transporting the child to radiology for a throat x-ray is not a priority and can delay necessary interventions.  

 

C. Obtaining a throat culture is not appropriate in this situation, as airway compromise can occur quickly, and immediate management is crucial.  

 

D. Placing the child in an upright position helps ease breathing and can alleviate distress, which is vital for a child with suspected epiglottitis.


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View Related questions

Correct Answer is A

Explanation

A. A child with varicella (chickenpox) should return to school only after all the blisters have crusted over, indicating that the infectious stage has passed and they are no longer contagious.

B. Receiving the varicella vaccine does not apply to children who already have the infection; vaccination is preventive, not a treatment for those already infected.

C. Completing one week of antiviral medication is not a sufficient criterion for returning to school, as the child may still be contagious until all lesions are crusted.

D. Returning to school as soon as the rash appears is not safe, as the child is highly contagious during the initial rash stage and until all lesions have crusted.

Correct Answer is C

Explanation

A. Taking ferrous sulfate between meals may actually help reduce the risk of constipation, but this is not the primary reason for timing.

B. Taking the medication with food does not typically increase the risk of esophagitis; rather, it can decrease the absorption of iron.

C. Taking ferrous sulfate between meals allows for optimal absorption of iron, as food can interfere with its absorption. This response accurately explains the rationale for the timing of the medication.

D. While it is true that some patients may experience nausea when taking iron supplements with food, the primary reason for taking it between meals is to enhance absorption rather than to prevent nausea.

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