When assessing a preschooler's chest, what should the nurse expect?
a. Respiratory movements to be chiefly thoracic
b. Anteroposterior diameter to be equal to the transverse diameter
c. Retraction of the muscles between the ribs on respiratory movement
d. Movement of the chest wall to be symmetric bilaterally and coordinated with breathing
ANS: D
Movement of the chest wall should be symmetric bilaterally and coordinated with breathing. In children younger than 6 or 7 years, respiratory movement is principally abdominal or diaphragmatic. The anteroposterior diameter is equal to the transverse diameter during infancy. As the child grows, the chest increases in the transverse direction, so that the anteroposterior diameter is less than the lateral diameter. Retractions of the muscles between the ribs on respiratory movement are indicative of respiratory distress.
You might also like to view...
The school nurse suspects a first grade student has sinusitis. Which symptoms might lead the nurse to this suspicion? (Select all that apply.)
a. Child reports tooth pain. b. Severe wheezing is auscultated on inspiration. c. Child reports, "I have had a cold for 2 weeks." d. Nurse observes periorbital swelling. e. Halitosis is present.
Which two components encouraged the change in view of health care from one of biological focus on disease management to comprehensive health care?
1. Medicare and Healthy People 2020 2. Healthy People 2020 and nursing theorists 3. Integrative health and Healthy People 2020 4. Integrative health and foreign exchange of ideas
A patient with a traumatic brain injury is showing signs of having pain. What would be the medication of choice for this patient?
1. Propofol 2. Meperidine 3. Morphine sulfate 4. Fentanyl
A student nurse is caring for a patient with a sprained ankle. An instructor says the acronym that should be used to help remember treatment for a sprain is
1. RIPE. 2. RICE. 3. RAMP. 4. HEAR.