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CCRN Exam Prep - Neonatal Critical Care Nursing

Category - CCRN Neonatal

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A 5 year old boy is brought to pediatric emergency after he suddenly developed fever at night. He sits upright, leaning forward with chin out, mouth open, and tongue protruding. His voice is thick and frog like. There is no history of cough or hoarseness. Which of the following examination needs special attention in this child as it may lead to life threatening complication if done without proper prerequisite?
  1. chest auscultation
  2. chest x ray
  3. blood culture
  4. throat examination with a tongue blade
Explanation
Answer: D - The child’s throat examination with a tongue blade needs special attention as the examination can trigger obstruction and lead to respiratory failure which may prove fatal and should not be done unless intubation and tracheostomy equipment is immediately available.
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