An infant has had recurrent respiratory infections. The mother of the child expresses concern that the infant seems to be at increased risk for complications from respiratory infections in comparison with her older children. Which response by the nurse would be most appropriate?

The younger child’s airways are smaller and more easily occluded

You are incorrect in your assessment

Air passages are more likely to become blocked with mucus due to increased mucus production in young children

Infants are not able to breathe deeply

Answer and Explanation

The Correct Answer is A

a) The younger child’s airways are smaller and more easily occluded: Children, especially infants, have smaller airways, making them more susceptible to blockage during infections.

b) You are incorrect in your assessment: This response dismisses the mother's concern without providing information.

c) Air passages are more likely to become blocked with mucus due to increased mucus production in young children: While increased mucus production can be a factor, the size of airways is a more critical consideration.

d) Infants are not able to breathe deeply: Not an accurate statement; infants have a different breathing pattern but can breathe adequately.

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Correct Answer is B

Explanation

a) Obtaining a sweat chloride test: Likely already part of routine monitoring for cystic fibrosis.

b) Reproductive ability: Adolescents with cystic fibrosis may need education regarding how their condition can affect fertility.

c) The effect of pancreatic enzymes on sex hormones: Not a commonly discussed aspect in cystic fibrosis care.

d) Increased need for weight reduction diet: Weight maintenance or specific diets to promote weight gain are more commonly addressed in cystic fibrosis care.

A. Eupnea B. Apnea C. Tachypnea D. Wheezing E. Grunting F. Retractions

Correct Answer is ["B","C","D","E","F"]

Explanation

a) Eupnea: Normal breathing rate and pattern, not indicative of distress.

b) Apnea: Cessation of breathing, a sign of significant distress.

c) Tachypnea: Rapid breathing, often seen in respiratory distress.

d) Wheezing: High-pitched, musical sounds during expiration, suggesting airway obstruction.

e) Grunting: Heard during expiration, a sign of the body's attempt to keep air in the lungs, indicating distress.

f) Retractions: Visible sinking of tissues between ribs or at the sternum, indicating increased effort to breathe, a sign of distress.

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An infant has had recurrent respiratory infections. The mother of the child expresses concern that the infant seems to be at increased risk for complications from respiratory infections in comparison with her older children. Which response by the nurse would be most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adolescent was diagnosed with cystic fibrosis as an infant, at this time, the nurse anticipates that the adolescent will need additional teaching related to which of the following?

Correct Answer is B

Explanation

Which breath sounds indicate the infant is experiencing respiratory distress? (Select All That Apply: SATA)

Correct Answer is ["B","C","D","E","F"]

Explanation

A nurse is planning care for a child with human immunodeficiency virus (HIV). Which nursing diagnosis is the highest priority for this child?

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