During transport of a child with suspected epiglottitis awaiting imaging, what is the nurse's best action?

• A. Move to stretcher and suction aggressively.
• B. Force mouth examination to check airway.
• C. Keep the child calm on the parent's lap.
• D. Start bronchodilator therapy.

Answer: (D)

When a child is suspected of having epiglottitis, the airway can deteriorate quickly if the child is upset or stimulated. The most important action during transport is to minimize agitation and handling to avoid triggering airway obstruction or laryngospasm. Keeping the child calm on the parent's lap provides a soothing, non-stimulating environment that reduces crying, gagging, and movement, which helps protect the airway while imaging is arranged.

Avoid anything that pressures or manipulates the airway, such as forced mouth or throat inspection, aggressive suctioning, or repeated airway exams, because these can provoke distress and worsen obstruction. Bronchodilator therapy is not helpful for epiglottitis, since the problem is swelling of the supraglottic structures, not bronchospasm. Instead, focus on calm, supportive care and preparing for definitive airway management by the healthcare team, with supplemental oxygen as needed.