Which factor is most likely to contribute to respiratory compromise in a child?
A child has a faster heart rate than an adult.
A child has a greater body surface area than an adult.
A child has a narrower airway diameter than an adult.
A child is unable to verbalize as well as an adult.
The Correct Answer is C
Choice A reason: This response is not correct because a faster heart rate does not necessarily imply respiratory compromise. A child's heart rate is normally faster than an adult's due to the smaller size and higher metabolic rate of the child.
Choice B reason: This response is not correct because a greater body surface area does not directly affect the respiratory system. A child's body surface area is larger than an adult's in proportion to their body weight, which means they lose heat more easily and are more prone to hypothermia.
Choice C reason: This response is correct because a narrower airway diameter makes the child more susceptible to airway obstruction, inflammation, and edema. A child's airway is about one-third the size of an adult's, which means that even a small amount of swelling or secretions can significantly reduce the airway caliber and cause respiratory distress.
Choice D reason: This response is not correct because the ability to verbalize is not a factor that contributes to respiratory compromise. However, the inability to verbalize may make it harder for the child to communicate their symptoms and needs, which may delay the recognition and treatment of respiratory problems.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is not appropriate because it may make the parents feel excluded or suspicious. It may also make the girl feel uncomfortable or scared. The parents have the right to be present and involved in their daughter's care, unless they pose a threat to her safety.
Choice B reason: This is not appropriate because it may offend or upset the parents and the girl. It may also damage the trust and rapport between the provider and the family. The provider should not make assumptions or accusations based on the girl's symptoms.
Choice C reason: This is appropriate because it respects the parents' authority and the girl's privacy. It also allows the provider to rule out pregnancy as a possible cause of the abdominal pain, and to offer appropriate counseling and treatment if needed.
Choice D reason: This is not appropriate because it may miss a potential diagnosis or complication. The provider should not rely solely on the parents' or the girl's statements about sexual activity, as they may be inaccurate or dishonest. The provider should follow the standard of care and perform a pregnancy test for any female of childbearing age with abdominal pain.
Correct Answer is C
Explanation
Choice A reason: This is not appropriate because it denies the child's reality and implies that having two daddies is not normal. It may also hurt the child's feelings and make them feel ashamed of their family.
Choice B reason: This is not appropriate because it sounds judgmental and curious about the child's family structure. It may also make the child feel uncomfortable and different from other children.
Choice C reason: This is appropriate because it accepts the child's statement and shows respect for their family. It also focuses on the child's immediate need and comfort.
Choice D reason: This is not appropriate because it sounds sarcastic and dismissive of the child's family. It may also make the child feel angry and defensive.
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