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 A
Explanation
Choice A reason: This statement is true because children, especially young children, may have difficulty expressing their pain or may be ignored by health care providers who underestimate their pain. Therefore, they may not receive adequate pain relief.
Choice B reason: This statement is false because children experience pain with procedures just as much as adults, if not more. Children may have more fear and anxiety associated with pain, which can amplify their perception of pain.
Choice C reason: This statement is false because infants experience pain as much as older children and adults. Infants have a fully developed nervous system that can sense and respond to pain stimuli. Infants may also have more long-term effects of pain, such as altered pain sensitivity and behavioral problems.
Choice D reason: This statement is false because children have a very low risk of becoming addicted to narcotics when they are used appropriately for pain management. Addiction is a psychological phenomenon that involves craving and compulsive use of a substance, which is rare in children who receive narcotics for pain relief.
Correct Answer is D
Explanation
Choice A reason: APT stands for Acute Pain Team, which is a multidisciplinary team that provides pain management for patients. It is not a tool to assess pain.
Choice B reason: Numeric is a pain scale that uses numbers from 0 to 10 to rate the intensity of pain. It is not suitable for a 4-year-old child who may not understand the concept of numbers or have difficulty expressing their pain level.
Choice C reason: FLACC stands for Face, Legs, Activity, Cry, and Consolability. It is a pain scale that uses behavioral cues to assess pain in infants and young children who are unable to verbalize their pain. It is more appropriate for children under 3 years of age.
Choice D reason: FACES is a pain scale that uses facial expressions to indicate the level of pain. It is suitable for a 4-year-old child who can point to the face that matches their pain. It is a simple and easy way to assess pain in children.
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