A nurse is caring for a preschool-age child. Nurses' Notes Vital Signs Nurses' Notes 1000: Child presents accompanied by a guardian who reports that the child has had a fever for 2 days, nasal congestion, and mucoid nasal drainage. Also reports that child is less active today than usual, and verbalized child's worsening throat discomfort. Child observed to be awake, alert, and oriented x 3. Irritable. Respirations rapid, but unlabored. Slight wheezing auscultated in anterior upper lobes. Child reports their throat "hurts a whole lot." Child resting in guardian's arms. 1100: Child appears very ill and does not respond to questions. Respirations labored with suprasternal retractions and inspiratory stridor. Drooling observed. Child is sitting upright, leaning slightly forward, with mouth open and tongue protruding. The nurse reviews the assessment findings and determines they are consistent with which of the following disease processes? For each assessment finding, click to specify if the finding is consistent with acute viral nasopharyngitis, acute epiglottitis, or acute laryngotracheobronchitis. Each finding may support more than one disease process. Assessment Finding Child's appearance Positioning of body Oral secretions Body temperature Retractions Reported pain Acute Viral Acute Acute Nasopharyngitis Epiglottitis Laryngotracheobronchitis

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