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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 A

Explanation

a) Prepare a warmer: Infants born with omphalocele defects require careful temperature regulation due to potential heat loss through the exposed abdominal contents. Using a warmer helps maintain the infant's body temperature.

b) Prepare a crib: While necessary for the infant, temperature regulation is a more immediate concern.

c) Prepare a feeding of formula: Feeding might be necessary but is not the most urgent need for an infant with an omphalocele.

d) Prepare the bilirubin light: Bilirubin lights are used for treating jaundice, which might not be an immediate concern for an infant with an omphalocele defect.

A. Infection B. Danger C. Seasonal protein D. Stress

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

Explanation

a) Infection: Infections can trigger lupus flare-ups due to the body's immune response.

b) Danger: Not typically considered a trigger for lupus flare-ups.

c) Seasonal protein: Not a recognized trigger for lupus flare-ups.

d) Stress: Emotional or physical stress can exacerbate symptoms in individuals with lupus.

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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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