A toddler-age client is brought to the emergency department (ED) with difficulty breathing. The healthcare provider diagnoses the client with epiglottitis. Which assessment data collected by the nurse are consistent with this diagnosis?
Select all that apply.
1. Oxygen saturation level is 85% on room air.
2. Respiratory rate is 22 per minute.
3. Stridor is audible without stethoscope.
4. Apical heart rate is 72 beats per minute.
5. Temperature is 103.7 °F.
Correct Answer: 1, 3, 5
The child with epiglottitis may have a decreased oxygen saturation level; 85% is lower than normal. Audible stridor is associated with epiglottitis. The child has a high fever and this is associated with epiglottitis. The respiratory rate is normal for a child between 1 and 2 years old. The child with epiglottitis will more likely exhibit an increased respiratory rate. The child's heart rate is within normal limits for the child's age.
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