Difficulty: Medium
Average Score: 72%
Simulated
A 1-year-old child with respiratory syncytial virus (RSV) is admitted to the pediatric unit. The nurse observes that the child presents with a fever, rhinorrhea, frequent coughing, and sneezing. Which additional finding should alert the nurse that the child is in acute respiratory distress?
Correct answer
A
Rationale
Nasal flaring indicates increased work of breathing, a sign of acute respiratory distress. Other findings are normal or unrelated.