Author Question: The nurse is assessing a child with acute epiglottitis. Examining the child's throat by using a ... (Read 78 times)

skymedlock · **on:** Jun 28, 2018

The nurse is assessing a child with acute epiglottitis. Examining the child's throat by using a tongue depressor might precipitate which symptom or condition?

a. Inspiratory stridor
b. Complete obstruction
c. Sore throat
d. Respiratory tract infection

Question 2

An 18-month-old child is seen in the clinic with AOM. Trimethoprim-sulfamethoxazole (Bactrim) is prescribed. Which statement made by the parent indicates a correct understanding of the instructions?

a. I should administer all the prescribed medication.
b. I should continue medication until the symptoms subside.
c. I will immediately stop giving medication if I notice a change in hearing.
d. I will stop giving medication if fever is still present in 24 hours.

jaymee143 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
If a child has acute epiglottitis, examination of the throat may cause complete obstruction and should be performed only when immediate intubation can take place. Stridor is aggravated when a child with epiglottitis is supine. Sore throat and pain on swallowing are early signs of epiglottitis. Epiglottitis is caused by H. influenzae in the respiratory tract.

Answer to Question 2

ANS: A
Antibiotics should be given for their full course to prevent recurrence of infection with resistant bacteria. Symptoms may subside before the full course is given. Hearing loss is a complication of AOM. Antibiotics should continue to be given. Medication may take 24 to 48 hours to make symptoms subside. It should be continued.