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

Eupnea

Apnea

Tachypnea

Wheezing

Grunting

Retractions

Answer and Explanation

Correct Answer : B,C,D,E,F

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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Correct Answer is D

Explanation

a) Handwashing is the most important factor in reducing the spread of the virus: Correct, hand hygiene is crucial in preventing the transmission of Hepatitis A.

b) We understand that early treatments with gamma-globulins can help our child: Correct, gamma-globulin treatment can offer passive immunity.

c) We will clean contaminated surfaces with bleach: Correct, using bleach is effective in disinfecting contaminated surfaces.

d) We should feed our child a high-fat diet: Hepatitis A does not require a high-fat diet. In fact, a low-fat diet is often recommended during the acute phase of the illness to reduce stress on the liver. This statement indicates a need for further education.

A. Obtaining a sweat chloride test B. Reproductive ability C. The effect of pancreatic enzymes on sex hormones D. Increased need for weight reduction diet

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.

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

Nursing Test Bank

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