A 4-month-old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a barking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress?
Bilateral bronchial breath sounds.
A resting respiratory rate of 35 breaths/minute.
Diaphragmatic respirations.
Flaring of the nares.
The Correct Answer is D
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["6"]
Explanation
Given: Prescribed dose = 300 mg Concentration = 250 mg/5 mL
Let's plug in the values:
Amount (mL) = 300 mg / (250 mg/5 mL)
First, calculate the concentration in mg per mL: 250 mg / 5 mL = 50 mg/mL
Now substitute this value into the formula:
Amount (mL) = 300 mg / 50 mg/mL
Amount (mL) = 6 mL
Correct Answer is ["C","D"]
Explanation
C. Albuterol: Albuterol is a bronchodilator that helps to relieve bronchoconstriction and improve airflow. It is commonly used to treat wheezing and respiratory distress in conditions like croup.
D. Racemic epinephrine: Racemic epinephrine is a vasoconstrictor and bronchodilator that can help reduce upper airway edema and improve breathing. It is often used in the treatment of croup to alleviate stridor.
Incorrect answers:
A. 5% dextrose: Dextrose is a type of sugar solution used for various purposes, including providing energy. However, it is not indicated for the immediate management of inspiratory stridor and respiratory distress.
B. Acetaminophen: Acetaminophen is a fever and pain reducer. While fever control might be important, it doesn't address the child's primary respiratory symptoms.
E. Morphine: Morphine is an opioid analgesic and can depress the respiratory drive. It is not indicated for the treatment of respiratory distress in a child with inspiratory stridor.
F. Aspirin: Aspirin is not recommended for use in children due to the risk of Reye's syndrome, a potentially serious condition. Additionally, aspirin does not address the child's respiratory symptoms.
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