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