A 5-year-old child is brought to the emergency department with copious drooling and a croaking sound on inspiration. Her mother states that the child is very agitated and only wants to sit upright
What should be the nurse's first action in this situation? a. Prepare intubation equipment and call the physician.
b. Examine the child's oropharynx and call the physician.
c. Obtain a throat culture for respiratory syncytial virus (RSV).
d. Obtain vital signs and listen to breath sounds.
A
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A This child has symptoms of epiglottitis, is acutely ill, and requires emergency
measures.
B If epiglottitis is suspected, the nurse should not examine the child's throat.
Inspection of the epiglottis is only done by a physician, because it could trigger
airway obstruction.
C A throat culture could precipitate a complete respiratory obstruction.
D Vital signs can be assessed after emergency equipment is readied.
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