A child, age 3, is brought to the emergency department in respiratory distress caused by acute epiglottiditis. Which clinical manifestations should the nurse expect to assess
A. Severe sore throat, drooling, leaning forward to breathe.
B. Low-grade fever, stridor, barking cough.
C. Pulmonary congestion, productive cough, fever.
D. Sore throat, fever, general malais
参考答案：A
解析：A child with acute epiglottiditis appears acutely ill, and clinical manifestations may include drooling (because of difficulty swallowing), severe sore throat, hoarseness, leaning forward with the neck hyperextended, high fever, and severe inspiratory stridor. A low-grade fever, stridor, and barking cough that worsens at night are suggestive of croup. Pulmonary congestion, productive cough, and fever along with nasal flaring, retractions, chest pain, dyspnea, decreased breath sounds, and crackles are indicative of pneumococcal pneumonia. A sore throat, fever, and general malaise point to viral pharyngitis.