A 3-year-old has been brought to the emergency department. She has a 'froglike' croaking sound on inspiration, is drooling and is very anxious. She continues to sit upright. Which of the following should this nurse do first?

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Question 1 of 5

A 3-year-old has been brought to the emergency department. She has a 'froglike' croaking sound on inspiration, is drooling and is very anxious. She continues to sit upright. Which of the following should this nurse do first?

Correct Answer: C

Rationale: Signs of epiglottitis (croaking sound, drooling, upright posture) require immediate physician notification and tracheostomy prep (C) due to airway emergency risk. Examining the pharynx (A) risks obstruction, mist tents (B) are ineffective here, and lying down (D) worsens breathing. Document: 'Epiglottitis is always a medical emergency requiring… immediate medical evaluation.'

Question 2 of 5

Plumbism is defined as:

Correct Answer: C

Rationale: Plumbism (C) is lead poisoning, from Latin 'plumbum' (lead). Other options are unrelated conditions. Document: 'Plumbism is also known as lead poisoning.'

Question 3 of 5

A 12-year-old with rheumatoid arthritis finds aromatherapy helpful for relieving her joint discomfort. The essential oil useful for children with chronic pain is:

Correct Answer: A

Rationale: Lavender (A) relieves chronic pain via relaxation. Ephedra (B), ginseng (C), and kava-kava (D) are stimulants or anxiolytics, not pain-specific. Document: 'Lavender… [is] useful in aromatherapy for children with chronic pain.'

Question 4 of 5

The nurse determines a mother understands instructions about administering an oral antibiotic for otitis media when the mother verbalizes that she will:

Correct Answer: A

Rationale: Antibiotics for otitis media must be completed fully (A) to prevent resistance, even if symptoms resolve. Stopping early (B), milk (C), or sharing (D) are incorrect. Document: 'Antibiotic therapy… is continued until the prescribed amount has been completed.'

Question 5 of 5

Low set ears in children could be associated with: Select ONE that does not apply:

Correct Answer: D

Rationale: Low-set ears link to kidney disorders (A), intellectual (B), and developmental disabilities (C) in syndromes like Down’s. Ventilation (D) and postictal (E) are unrelated. Document: 'Associated with kidney disorders, and intellectual or developmental disabilities.'

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