NCLEX RN COMPREHENSIVE EXIT EXAMS WITH NGN LATEST MULTIPLE VERSIONS COMBINED LATEST UPDATE 2023-2024

NCLEX RN COMPREHENSIVE EXIT EXAMS WITH NGN LATEST MULTIPLE VERSIONS COMBINED LATEST UPDATE 2023-2024

2. 2. Question
1 point(s)
Category: Safe and Effective Care Environment
The nurse is caring for a client admitted with epiglottitis. Because
of the possibility of complete obstruction of the airway, which of
the following should the nurse have available?
o A. Intravenous access supplies
o B. A tracheostomy set
o C. Intravenous fluid administration pump
o D. Supplemental oxygen
Incorrect
Correct Answer: B. A tracheostomy set
For a child with epiglottitis and the possibility of complete
obstruction of the airway, emergency tracheostomy equipment
should always be kept at the bedside. Prepare for intubation or
tracheostomy; Anticipate the need of an artificial airway. An
artificial airway is required to promote oxygenation and
ventilation and prevent aspiration. • Option A: Administer IV antibiotics as ordered. After

obtaining blood and epiglottic cultures, second-or-
third generation cephalosporins and beta-lactamase-
resistant antibiotics should be started as soon as

possible. • Option C: Discourage examining throat with a tongue
blade or taking throat culture unless immediate
emergency equipment and personnel at hand. Position
the child in a sitting up and leaning forward position
with mouth open and tongue out (“tripod” position).

Allows maximum entry of air into the lungs for
improved oxygenation. • Option D: Oxygen will not treat an obstruction.
Endotracheal intubation must be readily available;
assist with tracheostomy if needed or prepare for the
procedure in surgery. Establishes airway if obstruction
present and respiratory failure and asphyxia are
imminent.