Difficulty: Medium
Average Score: 70%
Simulated
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.
Correct answer
A,B,E
Rationale
The correct actions are A, B, and E. A- Monitoring oxygen saturation is crucial as epiglottitis can cause airway compromise leading to hypoxia. B- Beginning droplet precautions is essential to prevent the spread of Haemophilus influenzae type B to others. E- Initiating IV access is important for administering fluids and medications as the child may have difficulty swallowing. C- Inspecting the epiglottis is not recommended as it can trigger a spasm and worsen the obstruction. D- Obtaining a throat culture is contraindicated due to the risk of causing further airway compromise.