The nurse is assessing a child with a diagnosis of pneumonia. The child is taking shallow respirations. Which of the following is the most likely explanation?
a. an attempt to minimize pain c. exhaustion and lack of energy
b. a deficiency of carbon dioxide d. strained chest muscles
A
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A Correct. Pleuritic pain (stabbing with sensation of shortness of breath) is increased by coughing or deep breathing. In an attempt to minimize pain, children with pneumonia may take shallow breaths and resist coughing.
B Incorrect. The most likely explanation for why the child with pneumonia is taking shallow respirations is not a deficiency of carbon dioxide.
C Incorrect. The most likely explanation for why the child with pneumonia is taking shallow respirations is not exhaustion and lack of energy.
D Incorrect. The most likely explanation for why the child with pneumonia is taking shallow respirations is not strained chest muscles.
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