A toddler-age client presents to the emergency department with a sore throat and difficulty swallowing. The nurse suspects acute epiglottitis. Which nursing action is avoided based on the current assessment data?
1. Throat culture
2. Medical history
3. Vital signs
4. Auscultation of breath sounds
1
Explanation:
1. Throat cultures should never be done when a diagnosis of epiglottis is suspected. Manipulation of the throat can stimulate the gag reflex in an already inflamed airway and can cause complete occlusion of the airway.
2. Medical history should be obtained, which assists in diagnosis.
3. Vital signs should always be taken when assessment is done.
4. Assessment of breath sounds is essential for diagnosis.
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