Which of the following is a sign that a child may have epiglottitis rather than croup?

Prepare for the Mark Klimek Blue Book Part 1 Exam. Study with multiple choice questions, flashcards, and comprehensive explanations. Get ready for your nursing exam!

A muffled voice in a child is a significant indicator of epiglottitis. This condition involves inflammation of the epiglottis, which can lead to swelling and obstruction of the airway. In contrast to croup, where symptoms typically include a barky or high-pitched cough due to laryngeal involvement, epiglottitis often results in a child struggling to speak clearly because of the discomfort and difficulty swallowing caused by the inflamed epiglottis.

The presence of a muffled voice can signal airway obstruction, which is a hallmark of epiglottitis and indicates a potentially more severe respiratory emergency. The urgency of epiglottitis is stressed due to the risk of rapidly progressing airway obstruction, making early identification crucial. Therefore, recognizing a muffled voice among other symptoms is critical in differentiating epiglottitis from croup, allowing for appropriate and timely medical intervention.

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