The nurse is examining a 5-year-old boy. Which of the following would the nurse interpret as a reliable first indicator of respiratory illness in children?
A) Slow, irregular breathing
B) A bluish tinge to the lips
C) Lethargy and listlessness
D) Rapid, shallow breathing
D
Response:
Tachypnea, or rapid, shallow breathing, is often the first sign of respiratory illness in infants and children. Slow, irregular breathing, lethargy, and listlessness are signs that condition of the child is deteriorating. Cyanosis (a bluish tinge to the lips) or the degree of cyanosis present is not always an accurate indication of the severity of respiratory involvement.
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