Difficulty: Medium
Average Score: 81%
Simulated
A preschool-aged child who is experiencing respiratory distress is brought to the emergency department by the parents. The child is anxious, has a temperature of 102.8°F (39.3°C), and is drooling from the mouth while leaning forward when sitting. Which action should the nurse implement next?
Correct answer
A
Rationale
Drooling, fever, and forward-leaning suggest epiglottitis; preparing intubation/tracheotomy trays ensures airway management readiness, critical for rapid obstruction. Antibiotics act slowly, not addressing immediate airway risk. Nebulizers treat asthma, not epiglottitis. MRI delays urgent airway intervention.