The nurse assesses an infant with bronchiolitis. Which clinical signs indicate increased respiratory distress? (Select all that apply)

Question

This question is asking the student to demonstrate pathophysiology knowledge, the signs and symptoms of bronchiolitis. Understand key differences in pediatric vs. adult patients is crucial.

Answer 1

A. Nasal flaring

B. Head bobbing

C. Quiet breathing

D. Subcostal retractions

E. Respiratory rate of 38 bpm

F. Grunting on exhalation

Answers: A, B, D, F

Rationale:

These are all compensatory signs of respiratory distress in infants:

A. Nasal flaring

B. Head bobbing

D. Retractions

F. Grunting

Incorrect answers:

Quiet breathing → This may indicate worsening, but not early distress.

RR 38 bpm → This is within normal limits for infants (range: ~30–60 bpm).