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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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Correct Answer is A

Explanation

A. Giving pancreatic enzymes before snacks and meals is essential for children with cystic fibrosis to help with digestion and nutrient absorption due to their pancreatic insufficiency.

B. Children with CF often require increased salt intake, especially during hot weather or heavy exercise, due to higher salt losses in sweat.

C. A child with CF typically needs a high-calorie, high-fat diet to meet their energy requirements and to support growth, rather than low-fat meals with limited protein.

D. Limiting fluid intake is not recommended; children with CF often need to stay well-hydrated to help manage thick secretions and promote overall health.

Correct Answer is B

Explanation

A. Tricuspid atresia typically leads to decreased pulmonary blood flow due to the absence of normal blood flow to the lungs.

B. Patent ductus arteriosus results in increased pulmonary blood flow because it allows blood to flow from the aorta to the pulmonary artery, increasing the volume of blood going to the lungs.

C. Coarctation of the aorta can cause decreased blood flow to the lower body, which may not directly relate to increased pulmonary blood flow.

D. Tetralogy of Fallot is characterized by decreased pulmonary blood flow due to right ventricular outflow obstruction, making it not associated with increased pulmonary blood flow.

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