CCRN Critical Care Nursing

Category - Pediatrics

A 7 year-old child was rushed at the ER after a sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, fever, leaning forward while in a sitting position, protruding tongue, salivation and suprasternal retractions. What should the nurse do first?
  1. Have the child undergo an upper airway x-ray
  2. assess the throat
  3. have the sputum sent to laboratory for testing
  4. notify the doctor about the current status
Explanation
Answer: D - These findings suggest a medical emergency and may be due to epiglottises. Any child with an acute onset of an inflammatory response in the mouth and throat should receive immediate medical attention in a hospital equipped with Intubation or a Tracheostomy in the event of further or complete obstruction.
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