A two-year-old male child arrived in the emergency department with complaints of sore throat, difficulty swallowing, and suspected diagnosis of acute epiglottitis
Which of the following interventions should not be included in the child's immediate care and assessment? 1. Throat culture
2. Medical history
3. Vital signs
4. Assessment of breath sounds
1
Rationale 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.
Rationale 2: Medical history should be obtained, which assists in diagnosis.
Rationale 3: Vital signs should always be taken when assessment is done.
Rationale 4: Assessment of breath sounds is essential for diagnosis.
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Fill in the blank(s) with correct word