child health

Question 1

Croup syndromes

Answer 1

cause airway inflammation,
resulting in stridor, hoarseness, and a barking (seal-like) cough.

Question 2

Warning signs of epiglottitis include

Answer 2

respiratory
distress (tripod position), dysphagia, drooling,
and dysphonia (muffled voice).

Question 3

If a child shows signs of epiglottitis,

Answer 3

immediately notify the HCP and bring intubation equipment
to the bedside in case of complete airway obstruction.

Question 4

After a tonsillectomy, monitor for signs of

Answer 4

hemorrhage, such as frequent swallowing,
pallor, tachycardia, or restlessness.

Question 5

To protect the airway in epiglottitis,

Answer 5

sit the child
upright, do not put anything in the child’s mouth,
and defer invasive procedures until after intubation.

Question 6

Provide comfort:
Interventions for sore throat (expected):

Answer 6

ice collar
Cool drinks and soft foods soothe the throat (ice
pops, gelatin, mashed potatoes).
Acetaminophen, ibuprofen, or opioid analgesics
Do not give codeine to children after a tonsillectomy
(high risk for overdose).

Question 7

Protect the surgical site:

Answer 7

Position side-lying or prone until awake to facilitate
drainage of secretions.

Question 8

Avoid trauma to the surgical site:

Answer 8

Do not put sharp objects in the child’s mouth
(straws, forks).
Discourage child from blowing nose, gargling,
clearing the throat, or coughing.
Antiemetics treat postoperative nausea and vomiting and prevent painful retching.
No milk products (mucus production, which
causes child to clear the throat)
No citrus foods (acidity irritates throat)
No brown or red foods (resemble blood)
Limit the child’s activity (resume normal activity after 1-2 weeks).