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A parent brings a 4-month-old infant to the clinic.
The infant has had a runny nose, a slight fever, and a cough for the last two days.
Which of the following findings should alert the nurse that the child is in acute respiratory distress?

Diaphragmatic respirations.

Resting respiratory rate of 35 breaths/min.

Bilateral bronchial breath sounds.

Flaring of the nares.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Diaphragmatic respirations are normal in infants and do not necessarily indicate acute respiratory distress.

Choice B rationale

A resting respiratory rate of 35 breaths/min is within the normal range for a 4-month-old infant and does not necessarily indicate acute respiratory distress.

Choice C rationale

Bilateral bronchial breath sounds are normal findings and do not necessarily indicate acute respiratory distress.

Choice D rationale

Flaring of the nares, or nostrils, is a sign of respiratory distress in children. It indicates that the child is having to work harder to breathe.

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Correct Answer is C

Explanation

Choice A rationale

Increased BUN and serum creatinine are not typically symptoms of mononucleosis. These laboratory findings are more commonly associated with kidney dysfunction.

Choice B rationale

Ear pain and fever can be symptoms of many illnesses, including mononucleosis. However, they are not the most specific symptoms of this condition.

Choice C rationale

A positive Epstein-Barr virus test and malaise are common symptoms of mononucleosis. The Epstein-Barr virus is the most common cause of mononucleosis.

Choice D rationale

Elevated WBC and sedimentation rate can be seen in many inflammatory or infectious conditions, including mononucleosis. However, they are not the most specific symptoms of this condition.

A. The patient was able to sleep through the night. B. The patient’s left arm is warm to touch. C. The patient’s left shoulder and collarbone are symmetric. D. The patient has no desire to eat breakfast.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

The patient was able to sleep through the night. This is a positive sign as it indicates that the patient is comfortable and not in distress. Sleep is essential for healing and recovery.

Choice B rationale

The patient’s left arm is warm to touch. This could indicate that there is adequate blood flow to the area, which is necessary for healing. However, warmth could also be a sign of inflammation or infection, so it’s important to monitor this closely.

Choice C rationale

The patient’s left shoulder and collarbone are symmetric. This is a good sign as it indicates that there is no obvious dislocation or fracture, which could cause pain and limit mobility.

Choice D rationale

The patient has no desire to eat breakfast. This is not necessarily a sign of progress. Loss of appetite can be a symptom of many conditions, including stress, infection, or certain medications. It’s important to encourage the patient to eat to maintain strength and support healing.

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A parent brings a 4-month-old infant to the clinic.The infant has had a runny nose, a slight fever, and a cough for the last two days.Which of the following findings should alert the nurse that the child is in acute respiratory distress?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a child with mononucleosis.Which symptoms should the nurse expect the child to exhibit?

Correct Answer is C

Explanation

Correct Answer is ["A","B","C"]

Explanation

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A parent brings a 4-month-old infant to the clinic.
The infant has had a runny nose, a slight fever, and a cough for the last two days.
Which of the following findings should alert the nurse that the child is in acute respiratory distress?