NCLEX-PN

Category - Physiological Adaptation

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The nurse is caring for a 3-year-old child admitted due to epiglottitis. Which of the following nursing actions is the least appropriate when caring for the client?

Obtain throat culture
Prepare the child for lateral neck films
Reinforce nothing-by-mouth status
Assist the client to upright position

Explanation

Answer: A - The nurse should not initiate throat examinations or obtain cultures from the child’s throat. These actions may cause spasm of the epiglottis and airway obstruction. The other options are appropriate.

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