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    ATI RN Pediatric Nursing 2023 Proctored Exam
    Select All That Apply

    A nurse is caring for a 3-year-old child in the pediatric unit. Exhibits Based on the exhibits provided, which of the following findings are consistent with the child’s condition? Select all that apply.

    Explanation & Rationale

    Choice A rationale: A hoarse voice is consistent with the child’s condition. The child has a frequent cough and stridor, which can cause irritation and inflammation of the vocal cords, leading to a hoarse voice. Choice B rationale: Nasal flaring is a sign of respiratory distress. It indicates that the child is working harder to breathe, which is consistent with the observed symptoms of stridor, cough, and mild intercostal retractions. Choice C rationale: Increased appetite is not consistent with the child’s condition. The child is refusing to eat or drink and appears fatigued, which is typical in cases of respiratory distress and illness. Choice D rationale: Sitting upright and leaning forward is a common position adopted by children in respiratory distress. This position helps to open the airway and makes breathing easier. Choice E rationale: Decreased respiratory rate is not consistent with the child’s condition. The child’s respiratory rate has increased from 20/min to 24/min, indicating increased effort to breathe due to respiratory distress.

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