The nurse is caring for a child with a tracheostomy.What clinical manifestation should the nurse recognize as an early sign of impending respiratory distress or failure?
A) Cyanosis
B) Restlessness
C) Audible stridor
D) Crowing respirations

Question

Quizplus · Accepted Answer

Signs of hypoxemia are initially subtle.Cardinal signs of impending respiratory failure include restlessness,tachypnea,tachycardia,and diaphoresis.Cyanosis is a sign of severe hypoxia.Stridor and crowing respirations are indicative of inflammation.Sternal retractions are an early but less obvious sign.

The Nurse Is Caring for a Child with a Tracheostomy