What is the priority action for a nurse assessing a 4-year-old with signs of epiglottitis?

In cases of epiglottitis, the airway is at significant risk due to inflammation and swelling of the epiglottis, which can lead to airway obstruction. Keeping the child calm is crucial because agitation can exacerbate respiratory distress and increase the likelihood of complete obstruction. A calm environment helps to prevent any further increase in respiratory effort and maintains airway patency.

Calling for emergency airway equipment is also a key priority. In the event that the child experiences respiratory failure or complete obstruction, having the necessary tools and personnel readily available ensures prompt intervention. This preparation can be vital in managing potential airway emergencies that may arise suddenly due to the progression of this condition.

While obtaining IV access, assessing the throat, or providing respiratory support may be important actions in the treatment of epiglottitis, they are secondary to ensuring that immediate measures are taken to secure the child's airway and provide necessary emergency equipment in the case of an airway compromise.