Practice Question
A 3-year-old presents to the emergency room with signs of respiratory distress. The child has epiglottitis associated with a high fever, is apprehensive, and is drooling. Which intervention should be avoided?
Answer Choices:
Correct Answer:
Inspecting he child's mouth and throat with a tongue blade.
Rationale:
🌟 Epiglottitis is a life-threatening emergency caused by inflammation of the epiglottis, often due to Haemophilus influenzae type b.
🌟 The child typically presents with drooling, high fever, muffled voice, and tripod positioning, indicating airway obstruction.
🌟 Inserting a tongue blade or attempting to visualize the throat can provoke laryngospasm or complete airway occlusion due to the already swollen epiglottis.
🌟 Airway management must be done only in a controlled environment such as the OR or ICU with emergency intubation or tracheostomy equipment available.
🌟 Other interventions (like weighing or auscultating) are non-invasive and can be done carefully without worsening the condition.
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This question is from ATI LPN Pediatric Nursing Cohort 65 which contains 41 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Pediatrics
- Answer Choices: 4