ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
A nurse is caring for a pre-school age child who has epiglottitis and presents with a high fever, drooling, and a muffled voice.
Question 1 of 5
A nurse is caring for a pre-school age child who has epiglottitis and presents with a high fever, drooling, and a muffled voice. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Monitor oxygen saturation. In a child with epiglottitis, the priority is to monitor oxygen saturation as respiratory distress can rapidly escalate. High fever, drooling, and muffled voice indicate compromised airway, necessitating continuous monitoring of oxygen levels to detect any signs of respiratory distress promptly. Using a tongue depressor (choice
A) can trigger laryngospasm and worsen the obstruction. Initiating airborne precautions (choice
B) is not necessary for epiglottitis, as it is not transmitted through the air. Obtaining a throat culture (choice
D) is important but not the immediate priority in a child with potential airway compromise.
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Question 2 of 5
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Question 3 of 5
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Question 5 of 5
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