The following infant patients were endorsed to you. Your colleague said that one of these patients needs to be attended immediately. You determined that your colleague is referring to:
  1. A patient who is two hours post repair of diaphragmatic hernia with breath sounds heard bilaterally
  2. A patient with asthma, with audible wheezing that is heard without stethoscope
  3. A patient admitted for two days due to burns with edema distal to the burns and increasing activity level
  4. A patient who became cyanotic during the previous shift, but currently no signs of distress
Explanation
Answer - B - You determined that your colleague is referring to a patient with asthma with audible wheezing that is heard without stethoscope. Audible wheezing that is heard without a stethoscope is an indication that the airways are significantly compromised. Options A and C have normal and expected assessments with their condition. Option D is very specific that the infant is not experiencing distress.
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