Final answer:
The signs of airway obstruction due to epiglottitis include behavioral adaptations like the tripod position, nasal flaring, and potential bradycardia. A low-grade fever and sore throat are common symptoms but not specific for obstruction. Immediate medical attention including intubation may be required for children displaying these signs.
Step-by-step explanation:
Signs of Airway Obstruction in Epiglottitis
The child experiencing airway obstruction due to epiglottitis may display several signs, such as nasal flaring, an indication of increased effort to breathe, and possibly bradycardia as a late sign of hypoxia. The child instinctively adopts a position that helps to maintain airway patency; this can include thrusting the chin forward and opening the mouth or assuming a tripod position where the child leans forward, supporting themselves with their hands and arms. A low-grade fever and complaints of a sore throat are common in respiratory infections but are not specific signs of airway obstruction. Guarding against choking is especially important in children because they can easily choke on small objects or certain foods that can conform to the shape of the pharynx.
In the clinical context, if a nurse observes that a child with epiglottitis is displaying signs such as leaning forward in a tripod position, nasal flaring, or struggling to breathe, immediate intervention is required to avoid complete airway obstruction. These signs indicate that the child's airway is indeed compromised, necessitating urgent medical attention, which might include procedures like intubation to secure the airway.