Certified Pediatric Nurse (CPN)

Which statement is true regarding epiglottitis?

1. Epiglottitis generally has a gradual onset

2. Epiglottitis is more common in the elderly

3. Epiglottitis is associated with a viral upper respiratory infection

4. Most children with epiglottitis refuse to drink

The correct answer is: Most children with epiglottitis refuse to drink

The statement regarding epiglottitis that highlights that most children with epiglottitis refuse to drink is accurate because of the pain and difficulty swallowing that often accompany this condition. Epiglottitis is characterized by inflammation and swelling of the epiglottis, which can lead to severe throat pain and a sensation of fullness or obstruction in the throat. This discomfort can make it extremely painful and challenging for children to swallow liquids, leading to a refusal to drink. Additionally, the fear of choking or the acute pain associated with swallowing can further deter them from attempting to ingest fluids, making it a notable clinical presentation of the condition. In contrast, the other statements do not accurately depict the typical clinical understanding of epiglottitis. It is important to recognize that epiglottitis generally has a sudden onset rather than a gradual one, is predominantly seen in young children rather than the elderly, and is primarily caused by bacterial infections, not viral upper respiratory infections. Recognizing the key symptoms and behaviors associated with epiglottitis is crucial for timely diagnosis and intervention.