Practice Quiz

CEN Practice Exam (Certified Emergency Nurse)

Category - Respiratory

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You are caring for a child with epiglottitis. On assessment of the child what would indicate to you that the child is experiencing airway obstruction?
  1. The child is leaning backwards and supporting himself with his hands and arms.
  2. The child has a low-grade fever and complains of a sore throat.
  3. The child is leaning forward with the chin thrust out.
  4. The child exhibits nasal flaring and bradycardia.
Explanation
Answer: C - If a child is leaning forward with the chin thrust out, this is an indication that the airway may be obstructed. Other indications might include nasal flaring, tachycardia, high fever and sore throat. To prevent spasm of the epiglottitis and airway obstruction, no attempt should be made to visualize the pharynx.
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