Which of the following nursing care goals has the highest priority for a child with epiglottitis?

The correct answer is A. Sleep or lie quietly 10 hr/day. (A) Of these four goals, maintenance of a calm, quiet atmosphere to reduce anxiety and to allow for rest is the most important. (B) Although nutrition is important, the child needs fluids to maintain fluid and electrolyte balance more than solid foods. In addition, the child…

Physiological Integrity: Reduction of Risk Potential

Question

Options

ASleep or lie quietly 10 hr/day.
BConsume foods from all four food groups.
CBe afebrile throughout her hospital stay.
DParticipate in play activities 4 hr/day.

How the community answered

(28 responses)

A
79% (22)
B
4% (1)
C
11% (3)
D
7% (2)

Explanation

(A) Of these four goals, maintenance of a calm, quiet atmosphere to reduce anxiety and to allow for rest is the most important. (B) Although nutrition is important, the child needs fluids to maintain fluid and electrolyte balance more than solid foods. In addition, the child may not be able to swallow solid foods owing to epiglottic swelling. (C) This goal is unrealistic because fever is a common symptom of the infection associated with (D) If overexerted, the child will need more O2 and energy than available, and these requirements may exacerbate the condition.

Topics

#epiglottitis#airway management#priority nursing goals#pediatric care

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