Certified Pediatric Nurse (CPN)

What action should the nurse avoid when caring for a child with epiglottitis?

1. Using oropharyngeal suctioning due to potential airway obstruction

2. Using oropharyngeal suctioning due to contamination

3. Using oropharyngeal suctioning to remove secretions

4. Preparing to use bag-mask ventilation

The correct answer is: Using oropharyngeal suctioning due to potential airway obstruction

In the context of caring for a child with epiglottitis, avoiding oropharyngeal suctioning is crucial because this procedure poses a significant risk of airway obstruction. Epiglottitis is characterized by inflammation and swelling of the epiglottis, which can effectively narrow or block the airway. Intense manipulation in the oropharynx, such as suctioning, can further irritate the already inflamed tissues, potentially leading to complete airway compromise. This cautious approach is vital in ensuring the child's safety and maintaining a patent airway. Immediate actions should focus on preventing additional airway distress, ensuring a secure airway, and preparing for potential intubation if necessary. The other actions mentioned may not directly pertain to the hazardous nature of oropharyngeal suctioning in the context of epiglottitis and do not clearly capture the same level of risk presented by airway obstruction.