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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 B

Explanation

A. Supraventricular tachycardia (SVT) typically has identifiable P waves; the absence of P waves suggests a different condition.

B. Atrial fibrillation is characterized by an irregular rhythm, inability to identify P waves, and varying intervals. This interpretation aligns with the client's ECG findings.

C. Sinus bradycardia would show identifiable P waves and a regular rhythm with a heart rate less than 60 bpm, which does not match the provided information.

D. First-degree heart block would also show identifiable P waves and regularity in the rhythm with a prolonged PR interval, which is not indicated here.

Correct Answer is C

Explanation

A. Montelukast is a leukotriene receptor antagonist used for long-term management and prevention of asthma symptoms, not for acute relief.

B. Budesonide is an inhaled corticosteroid used for long-term control of asthma but does not provide immediate relief during an acute attack.

C. Albuterol is a short-acting beta-agonist (SABA) that provides rapid bronchodilation and is the first-line medication for relieving acute asthma symptoms.

D. Fluticasone is also an inhaled corticosteroid intended for long-term management, which does not address the immediate needs of an acute asthma attack.

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