Which data collected during the respiratory assessment would indicate the pediatric client is compromised? Select all that apply
1. Lung sounds clear to auscultation
2. Stridor
3. Substernal retractions
4. Nasal flaring
5. Strong cry
2, 3, 4
Explanation:
1. Lung sounds that are clear to auscultation do not indicate respiratory compromise.
2. Stridor is an adventitious breath sound that may indicate respiratory compromise.
3. Substernal retractions may indicate respiratory compromise.
4. Nasal flaring may indicate respiratory compromise.
5. A weak, not strong, cry may indicate respiratory compromise.
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