Author Question: A toddler-age client is brought to the emergency department (ED) with difficulty breathing. The ... (Read 40 times)

nelaaney · **on:** Jun 25, 2018

A toddler-age client is brought to the emergency department (ED) with difficulty breathing. The healthcare provider diagnoses the client with epiglottitis. Which assessment data collected by the nurse are consistent with this diagnosis?

Select all that apply.
1. Oxygen saturation level is 85 on room air.
2. Respiratory rate is 22 per minute.
3. Stridor is audible without stethoscope.
4. Apical heart rate is 72 beats per minute.
5. Temperature is 103.7 F.

Question 2

The nurse performs an assessment on four hospitalized pediatric clients. After reviewing each client's admitting diagnosis, which pediatric client may have an enlarged spleen?

1. 14-year-old admitted with acute gastroenteritis.
2. 17-year-old admitted with an acute exacerbation of asthma.
3. 11-year-old admitted with an umbilical hernia.
4. 9-year-old admitted with a sickle cell crisis.

brittanywood · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 3, 5
The child with epiglottitis may have a decreased oxygen saturation level; 85 is lower than normal. Audible stridor is associated with epiglottitis. The child has a high fever and this is associated with epiglottitis. The respiratory rate is normal for a child between 1 and 2 years old. The child with epiglottitis will more likely exhibit an increased respiratory rate. The child's heart rate is within normal limits for the child's age.

Answer to Question 2

Correct Answer: 4
Splenomegaly (enlarged spleen) is common in young children with sickle cell disease (SCD). All children with SCD should be assessed for splenomegaly. It would be unlikely that the 14-year-old with acute gastroenteritis would exhibit splenomegaly. It would be unlikely that the 17-year-old with an acute exacerbation of asthma would exhibit splenomegaly. It would be unlikely that the 11-year-old with an umbilical hernia would exhibit splenomegaly.