A client is diagnosed with epiglottis. For what should the nurse monitor the client?
1. Stridor and use of accessory muscles.
2. Increased nasal secretions.
3. Severe sore throat.
4. Deep cough.
Answer: 1
1. Epiglottis is a medical emergency, often requiring intubation of the client until swelling subsides. For this reason, the nurse monitors the client for signs of worsening respiratory symptoms, which include stridor and use of accessory muscles when breathing.
2. Nasal secretions will not cause extreme respiratory distress except in the very small infant.
3. Severe sore throat is seen in bacterial pharyngitis.
4. The lower respiratory tract is not affected by epiglottis.
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