Pediatrics Flashcards
The ED nurse is caring for a child suspected of acute epiglottitis. Which interventions apply in the care of the child? Select all that apply
1. Obtain a throat culture
2. Auscuultate lung sounds
3. Maintain the chlid in a supine position
4. Obtain a pediatric-size tracheostomy tray
5. Place the child on an O2 sat monitor
6. Prepare the child for a lateral neck and chest x-ray
Answer: 2, 4, 5, 6
Acute epiglottitis is a serious obstructure inflammatory process that requires immediate intervention and that airway patency is a priority. Auscultating lung sounds allows the nurse to obtain information about airway patency w/o causing further airway compromise, which can happen by examining the throat. Examination of the throat w/ a tongue depressor or attempting to obtain a throat culture is contraindicated b/c the examination can precipitate further obstruction. A lateral neck and chest x-ray is obtained to determine degree of obstruction, if present. To reduce respiratory distress, the child should sit upright. The child is placed on an O2 sat monitor to monitor O2 sat. Tracheostomy and intubation may be necessary if respiratory distress is severe. Remember to follow the specific directions given on the computer screen.
