A 5-year-old presents with high fever, inspiratory stridor, ...

[CharlieWard]

A 5-year-old presents with high fever, inspiratory stridor, severe respiratory distress, drooling, and dysphagia. Acute epiglottitis is suspected. When assessing the child the nurse would avoid:
 
  a. trying to keep the child calm.
  b. examining the throat for redness.
  c. auscultating the child's respiratory rate.
  d. counting the heart rate apically.

Question 2

A 50-year-old is diagnosed with lung cancer. The health history includes a 30-year history of smoking, exposure to air pollution, asbestos, and radiation. What had the greatest impact on the development of his cancer?
 
  a. Radiation
  b. Cigarette smoke
  c. Asbestos
  d. Air pollution

[beccamahon]

Answer to Question 1

ANS: B
Examination of the throat should not be attempted as it may trigger laryngospasm and cause res-piratory collapse. It is appropriate to attempt to keep the child calm, listen, and count the child's respiratory and heart rates.

Answer to Question 2

ANS: B
The most common cause of lung cancer is tobacco smoking. While considered risk factors, nei-ther exposure to radiation, asbestos, nor air pollution is the most common of the known triggers.