Difficulty: Medium
Average Score: 93%
Simulated
Passage / Scenario
Child with epiglottitis due to Haemophilus influenzae type BA 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,D
Rationale
The correct answers are A, B, and D.
A: Begin droplet precautions - This is crucial to prevent the spread of infection as Haemophilus influenzae type B is transmitted through respiratory droplets.
B: Initiate IV access - Important for administering antibiotics and fluids to manage the infection and maintain hydration.
D: Monitor oxygen saturation - Essential to assess respiratory status as epiglottitis can lead to airway obstruction and respiratory distress.
Incorrect choices:
C: Inspect the epiglottis - Direct visualization can be dangerous and can lead to worsening airway obstruction.
E: Obtain a throat culture - Not a priority in the acute care of epiglottitis; treatment should be initiated promptly based on clinical presentation.
A: Begin droplet precautions - This is crucial to prevent the spread of infection as Haemophilus influenzae type B is transmitted through respiratory droplets.
B: Initiate IV access - Important for administering antibiotics and fluids to manage the infection and maintain hydration.
D: Monitor oxygen saturation - Essential to assess respiratory status as epiglottitis can lead to airway obstruction and respiratory distress.
Incorrect choices:
C: Inspect the epiglottis - Direct visualization can be dangerous and can lead to worsening airway obstruction.
E: Obtain a throat culture - Not a priority in the acute care of epiglottitis; treatment should be initiated promptly based on clinical presentation.