A 5-year-old presents with high fever, inspiratory stridor, severe respiratory distress, drooling, and dysphagia. Acute epiglottitis is suspected. When assessing the child the nurse would avoid:
a. trying to keep the child calm.
b. examining the throat for redness.
c. auscultating the child's respiratory rate.
d. counting the heart rate apically.
ANS: B
Examination of the throat should not be attempted as it may trigger laryngospasm and cause res-piratory collapse. It is appropriate to attempt to keep the child calm, listen, and count the child's respiratory and heart rates.
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