Which respiratory findings assessed by the nurse indicate that a ...

[Engineer]

Which respiratory findings assessed by the nurse indicate that a child is close to death? Select all that apply.
 
  1. Tachypnea
  2. Dyspnea
  3. Diaphoresis
  4. Confusion
  5. Accumulation of secretions in the throat

Question 2

Which defense mechanisms should the nurse include in the parental teaching session regarding common pediatric responses to a life-threatening illness? Select all that apply.
 
  1. Regression
  2. Anticipating
  3. Denial
  4. Repression
  5. Bargaining

[Jody Vaughn]

Answer to Question 1

1, 2, 5
Explanation:
1. Tachynpea is a respiratory finding that may indicate the child is close to death.
2. Dyspnea is a respiratory finding that may indicate the child is close to death.
3. Diaphoresis is a cardiovascular, not respiratory, finding indicating the child is close to death.
4. Confusion is a neurologic, not respiratory, finding indicate the child is close to death.
5. As the child approaches death, the muscles relax and secretions accumulate in the oropharynx and bronchi, causing noisy breathing as air passes through the secretions.

Answer to Question 2

1, 3, 4, 5
Explanation:
1. Regression is a common defense mechanism portrayed by the pediatric client in response to a life-threatening illness.
2. Anticipating is a coping mechanism, not a defense mechanism, that may be portrayed by the pediatric client in response to a life-threatening illness.
3. Denial is a common defense mechanism portrayed by the pediatric client in response to a life-threatening illness.
4. Repression is a common defense mechanism portrayed by the pediatric client in response to a life-threatening illness.
5. Bargaining is a common defense mechanism portrayed by the pediatric client in response to a life-threatening illness.