nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?
Visualize the epiglottis with a tongue depressor.
Transport the child to radiology for a throat x-ray.
Obtain a throat culture.
Place the child in an upright position.
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. A stool fat content analysis can suggest malabsorption issues but does not specifically confirm cystic fibrosis.
B. The sweat chloride test measures the amount of chloride in the sweat, with elevated levels confirming a diagnosis of cystic fibrosis.
C. Pulmonary function tests assess lung function but are not definitive for diagnosing cystic fibrosis.
D. A sputum culture can identify respiratory infections but is not specific for cystic fibrosis diagnosis.
Correct Answer is B
Explanation
A. Doubling the dose if a dose is missed can increase the risk of bleeding and is not recommended for warfarin. Instead, the client should take the missed dose as soon as remembered unless it's almost time for the next dose.
B. Using an electric razor is recommended to minimize the risk of cuts and bleeding, which is particularly important for clients on anticoagulants like warfarin.
C. While increasing fiber intake can be beneficial for overall health, it is not specifically necessary for addressing constipation related to warfarin therapy.
D. While mild nosebleeds may occur, they are not typically common during initial treatment. Clients should be informed to report any unusual or severe bleeding.