The nurse observes abdominal breathing in a 2-year-old child. What does this finding indicate?
a. Imminent respiratory failure
b. Hypoxia
c. Normal respiration
d. Airway obstruction
C
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A A very slow respiration rate is an indicator of respiratory failure.
B Nasal flaring with inspiration and grunting on expiration occurs when hypoxia is
present.
C Young children normally exhibit abdominal breathing. When measuring
respiratory rate, the nurse should observe the rise and fall of the abdomen.
D The child with an airway obstruction will use accessory muscles to breathe.
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