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?
Explanation & Rationale
A. Begin prescribed intravenous antibiotic administration: IV antibiotics are important for treating bacterial infections, but immediate airway management takes priority in a child with signs of potential airway obstruction. B. Provide a nebulizer treatment with bronchodilators: Bronchodilators are useful for lower airway obstruction (e.g., asthma), but the child’s drooling, high fever, and tripod position suggest upper airway obstruction, which will not improve with bronchodilators. C. Schedule the child for a STAT magnetic resonance imaging (MRI) of the neck: Imaging is not the priority when there is imminent risk of airway compromise. Immediate readiness for airway intervention is critical before any diagnostic procedures. D. Obtain bedside trays for intubation or tracheotomy by the healthcare provider: The child exhibits classic signs of epiglottitis—drooling, tripod position, high fever, and respiratory distress. Preparing for emergency airway management ensures rapid intervention if complete airway obstruction occurs, which is the highest priority.