A 5-year-old child is brought to the emergency department with a 2-day history of fever, sore throat, and difficulty swallowing. The child is sitting upright, leaning forward with the chin thrust out, drooling, and appears anxious. Vital signs show temperature 102.8°F (39.3°C), heart rate 140 bpm, respiratory rate 32/min, and oxygen saturation 92% on room air. What is the most important initial assessment finding that would indicate epiglottitis?

• 1 Absence of spontaneous cough with inspiratory stridor only when agitated ✓ 정답
• 2 Barking cough with expiratory wheeze and retractions
• 3 Productive cough with coarse crackles throughout lung fields
• 4 Dry, hacking cough with fine inspiratory crackles at lung bases

학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.