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Which breath sounds indicate the infant is experiencing respiratory distress? (Select All That Apply: SATA)

Eupnea

Apnea

Tachypnea

Wheezing

Grunting

Retractions

Answer and Explanation

Correct Answer : B,C,D,E,F

a) Eupnea: Normal breathing rate and pattern, not indicative of distress.

b) Apnea: Cessation of breathing, a sign of significant distress.

c) Tachypnea: Rapid breathing, often seen in respiratory distress.

d) Wheezing: High-pitched, musical sounds during expiration, suggesting airway obstruction.

e) Grunting: Heard during expiration, a sign of the body's attempt to keep air in the lungs, indicating distress.

f) Retractions: Visible sinking of tissues between ribs or at the sternum, indicating increased effort to breathe, a sign of distress.

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Correct Answer is D

Explanation

a) Make her lie down and rest quietly: Inappropriate as the symptoms suggest potential airway obstruction.

b) Examine her oral pharynx and report to the physician: Important action, but immediate airway management is the priority.

c) Auscultate her lungs and prepare for placement in a warm mist tent: Less critical than ensuring an open airway.

d) Defer an oral assessment and be prepared to assist with a tracheostomy or intubation: The child's symptoms (stridor, agitation, drooling) indicate potential upper airway obstruction, and immediate readiness for airway intervention is essential.

A. Hyperthermia B. Respiratory distress C. Bradycardia D. Seizure

Correct Answer is D

Explanation

a) Hyperthermia: Hyponatremia can disrupt temperature regulation, but it doesn't typically cause hyperthermia directly.

b) Respiratory distress: While severe cases might cause neurological issues affecting breathing, it's not the primary concern in hyponatremia.

c) Bradycardia: Though possible due to neurological complications, it's not the primary issue to anticipate in hyponatremia.

d) Seizure: Hyponatremia significantly affects brain function due to electrolyte imbalance, predisposing the child to seizures.

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Which breath sounds indicate the infant is experiencing respiratory distress? (Select All That Apply: SATA)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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