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    ATI RN Paediatrics Nursing Proctored Exam 2023
    Select All That Apply

    A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.

    Explanation & Rationale

    A. Monitoring oxygen saturation is important to assess respiratory status, as epiglottitis can cause airway obstruction. B. Droplet precautions are required for Haemophilus influenzae type B to prevent transmission. C. Inspecting the epiglottis is contraindicated as it can trigger airway spasm and worsen obstruction. D. A throat culture is not appropriate in a child with suspected epiglottitis due to the risk of airway obstruction. The diagnosis is typically confirmed through other methods, such as imaging. E. IV access should be established to provide fluids and medications, especially if the child requires emergency interventions.

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