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    Ati nurs 225 maternal newborn proctored exam

    A nurse is caring for a pre-school age child who has suspected epiglottitis. Which of the following actions should the nurse take?

    Explanation & Rationale

    Rationale: A. Monitoring oxygen saturation is appropriate as epiglottitis can cause sudden airway obstruction, and early detection of hypoxia is critical. B. Obtaining a throat culture is unsafe; manipulating the airway can precipitate complete obstruction. C. Using a tongue depressor to examine the throat is contraindicated because it can trigger laryngospasm and airway collapse in epiglottitis. D. Airborne precautions are not indicated; epiglottitis is not primarily a transmissible airborne infection. Standard precautions and rapid airway management are priorities.

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