Answer to Question 1
A
The endotracheal equipment should be readily available. Examination of the throat could cause laryngospasm, which in turn could cause respiratory arrest. The child should be placed upright. Epiglottitis is a life-threatening medical emergency, and the presence of stridor indicates nearly complete obstruction, so the physician should be notified if there is any stridor at all.
Answer to Question 2
B
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A Incorrect: The nurse is assessing a child who has significant edema. The nurse finds an increasing respiratory rate and some rales. The best nursing intervention would not be to place the child in a semi-Fowler's position.
B Correct: The nurse is assessing a child who has significant edema. The nurse finds an increasing respiratory rate and some rales. The best nursing intervention would be to elevate the head of the bed because these signs often reflect pulmonary edema.
C Incorrect: The best nursing intervention would not be to place shock blocks under the foot of the bed for the child with pulmonary edema.
D Incorrect: The best nursing intervention would not be to elevate the child's legs on pillows.
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