Question

a nurse is caring for a preschooler who has been hospitalizes for an extended respiratory illness. Which of the following behaviors by the client should the nurse identify as regression

Answer 1

chronic respiratory illness represents characteristics such as ,

shortness of breath ,fatigue,fever,irritability,restlessness,chest tightness,mucosal edema

and the child will also present with breath sounds that are coarseand loud ,with crackles,coarse rhonchi and inspiratory and expiratory wheezing

restless,apprehension and diaphoresis may occur

in severe spasm or obstruction -breath sounds and wheezing cannot be heard (silent chest) and cough is ineffective (represents a lack of air movement )

in ventilatory failure and asphyxia - shortness of breath ,with air movement in the chest restricted to the point of absent breath sounds ,is noted;this is accompanied by a sudden increase in the respiratory rate

child speaks in short ,broken phrases

younger children assume the tripod sitting position

child avoids a lying down position

the child experiences retractions

hyperresonance on percussion of the chest is noted

conclusion; child may be pale or flushed and lips may have a deep,dark red color that may progress to cyanosis(also observed in the nail beds and skin,especially around the mouth)