A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (Select all that apply.)

Oxygen saturation 95%

Warm extremities

Wheezing

Nasal flaring

Retraction of sternal muscles

Answer and Explanation

Correct Answer : C,D,E

Choice A reason: An oxygen saturation of 95% is within the normal range and does not indicate respiratory deterioration.

Choice B reason: Warm extremities are not an indication of respiratory status deterioration; they are generally a sign of good circulation.

Choice C reason: Wheezing is a common sign of airway obstruction in asthma and can indicate a deterioration in respiratory status.

Choice D reason: Nasal flaring is a sign of increased work of breathing and can indicate respiratory distress in a child with asthma.

Choice E reason: Retraction of sternal muscles is a sign of respiratory distress and can indicate a worsening condition in a child with asthma.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: A sensation of being cold can occur as the body's circulation diminishes and blood flow to the extremities decreases.

Choice B reason: A heightened sense of hearing is not typically a sign of impending death; this choice is incorrect.

Choice C reason: Difficulty swallowing can be a sign of impending death due to the body's muscles weakening and a decrease in reflexes.

Choice D reason: Tachycardia may occur as the heart tries to compensate for decreased function in other systems.

Choice E reason: Cheyne-Stokes respirations, characterized by a pattern of irregular breathing, are a common sign of impending death.

A. "Zanamivir can be given to children 1 year and older." B. "Amantadine will prevent the illness." C. "Rimantadine is administered intramuscularly." D. "Oseltamivir should be given within 48 hours of onset of symptoms." E. "Oseltamivir should be given within 48 hours of onset of symptoms."

Correct Answer is D

Explanation

Choice A reason: Zanamivir is indeed recommended for children 1 year and older, but it is not the only antiviral medication for influenza. It is an inhaled medication and may not be suitable for all children.

Choice B reason: Amantadine is an antiviral medication; however, it is not commonly used for influenza prevention due to resistance. It is also not recommended for children under 1 year of age.

Choice C reason: Rimantadine is similar to amantadine and is administered orally, not intramuscularly. Like amantadine, resistance has limited its use for influenza treatment and prevention.

Choice D reason: Oseltamivir is an oral antiviral medication that can treat influenza if given within 48 hours of symptom onset. It can reduce the duration of symptoms and is suitable for children and adults.

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A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (Select all that apply.)

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