A child is admitted to the hospital with the diagnosis of laryngotracheobronchitis (LTB). Which nursing intervention is the priority for this child?
1. Administer nebulized epinephrine and oral or IM dexamethasone.
2. Administer antibiotics and assist with possible intubation.
3. Swab the throat for a throat culture.
4. Obtain a sputum specimen.
Correct Answer: 1
Rationale: Nebulized epinephrine and dexamethasone are given for LTB. Antibiotic administration and possible intubation are associated with epiglottitis. Throat cultures are not obtained for LTB because it is viral and swabbing the throat could cause complete obstruction to occur. Sputum specimens will not assist in the diagnosis of LTB.
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