The Nurse Caring for a Male Child with Respiratory Problems

Multiple Choice

The nurse caring for a male child with respiratory problems is concerned he may be developing respiratory failure. Upon assessment, the nurse knows that which of the following are clinical manifestations of respiratory failure? Select all that apply.

A) Severe accessory muscle retractions
B) Nasal flaring
C) Grunting on expiration
D) Inspiratory wheezes heard
E) Swollen glottis