The most accurate physiologic reason for respiratory distress in ...

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The most accurate physiologic reason for respiratory distress in respiratory distress syndrome (RDS) is:
 
  1. Altered surface tension causes fluid and protein leak, preventing atelectasis and ground glass appearance on CXR.
   2. Infants with RDS are premature and incidence of RDS increases with increased gestational age.
   3. Infants with RDS have a decreased number of alveoli, increased surface tension, and decreased AP diameter, limiting lung development.
   4. Infants with RDS have altered surface tension, which produces hyaline membrane, atelectasis, and hypoventilation.

Question 2

The 14-year-old child who is dying of leukemia is trying to comb her thinning hair and is having a great deal of difficulty due to weakness. The nurse should:
 
  a. Take the hairbrush from her hand and finish the job
  b. Remind the child to stop in order to save her energy
  c. Compliment the child on the appearance of her hair
  d. Caution her that brushing will cause more hair to fall out

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Answer to Question 1

4
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1. The hypoventilation occurring in RDS causes an increased risk.
2. RDS can occur in any gestational age neonate.
3. The neonates have damage to the alveoli, not a decreased number.
4. Infants with RDS have altered surface tension, which produces, hyaline membrane, atelectasis and hypoventilation.

Answer to Question 2

C
The nurse should recognize the effort of self-care. Long illnesses threaten a child's independence, a developmental drive in the adolescent. Overprotection will increase dependence.