A preschool-aged child who is experiencing respiratory distress is brought to the emergency department by the parents.The child is anxious, has a temperature of 102.8°F (39.3°C), and is drooling from the mouth while leaning forward when sitting. Which action should the nurse implement next?

Choice A rationale The child’s symptoms suggest epiglottitis, a medical emergency requiring readiness for intubation or tracheotomy to secure the airway. Immediate preparation for these procedures is crucial to prevent airway obstruction and respiratory arrest. Choice B rationale Although imaging can provide diagnostic information, it is not the immediate priority. The priority is to secure the airway to prevent acute respiratory failure, making this choice less appropriate. Choice C rationale Nebulizer treatments can help with lower airway obstructions but are ineffective for upper airway conditions like epiglottitis. The child’s symptoms indicate upper airway obstruction, making this choice less appropriate. Choice D rationale While antibiotics are essential for treating infections causing epiglottitis, the immediate priority is to ensure the airway is not compromised. Securing the airway takes precedence over initiating antibiotic therapy in this acute situation.