A 5-month-old infant is in respiratory distress. What should the nurse expect to find?
a. Nasal flaring
b. Bradycardia
c. Abdominal breathing
d. Capillary refill of 2 seconds
ANS: A
Nasal flaring is a sign of respiratory distress and a significant finding in an infant. The enlargement of the nostrils helps reduce nasal resistance and maintains airway patency. Nasal flaring may be intermittent or continuous and should be described as minimum or marked. The infant would have tachycardia, not bradycardia, in respiratory distress. Abdominal breathing and a capillary refill are normal findings in an infant.
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