A 4-year-old child's respiratory rate is 30 per minute. The mother states, "That seems like a really high number. My healthcare provider told me my respiratory rate is only 16 per minute."
Which of the following is the nurse's best response? 1. "This is a normal finding for your child's age.".
2. "Your child is exhibiting a sign of a respiratory infection.".
3. "Your child requires further assessment.".
4. "Your child may simply be anxious.".
1
Rationale 1: It is normal for children up to the age of 5 to have respiratory rates of up to 35 per minute.
Rationale 2: This child is not exhibiting a sign of a respiratory infection.
Rationale 3: This respiratory rate is normal for this child's age. The child does not require further assessment.
Rationale 4: This respiratory rate is normal for this child's age. The child's respiratory rate will increase with anxiety and the child may exhibit tachypnea.
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