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.
You might also like to view...
The Department of Nursing with a health care organization is planning steps that reflect the Joint Commission's recommendations for cultural competence. What will the nursing department include in these steps?Select all that apply.Note: Credit will be given only if all correct choices and no incorrect choices are selected.
A. Value diversity B. Assess themselves C. Manage difference D. Acquire cultural knowledge E. Hire staff from different cultures
The nurse is assessing an older client who is having an annual assessment. In order to assess age-related changes of the musculoskeletal system, the nurse should assess:
1. the client's weight. 2. vital signs 3. the client's height. 4. the client's normal urine output.
Prior to giving clearance for an older adult to take part in an exercise regimen, the ____ assessment tool should be used by the clinician
A. Get up and go B. Tinetti scale C. PARmed-X D. PAR-Q
Based on this label, Amiodarone HCL
A. must be diluted B. can be used for more than one patient. C. contains a preservative. D. can be given IM.