Question

Which condition is a sign of severe respiratory distress and requires immediate intervention by the nurse?

A) Nasal flaring, grunting, and retractions

B) Central cyanosis

C) Elevated body temperature and increased irritability

D) Shallow breathing and decreased appetite

Answer 1

Central cyanosis is a severe sign of respiratory distress that indicates a significant drop in arterial oxygenation, requiring immediate medical intervention.

Step-by-step explanation:

Among the conditions listed, central cyanosis is a sign of severe respiratory distress and requires immediate intervention by a nurse. Central cyanosis indicates a significant reduction in arterial oxygenation and is a medical emergency. It typically presents as a bluish discoloration around the core, lips, and tongue.

This condition may arise from various respiratory problems such as Respiratory Distress Syndrome (RDS), particularly in prematurely born infants, or from other serious conditions like pneumonia, where lungs fill with mucus and restrict gas exchange. It is vital to address central cyanosis promptly to restore adequate oxygenation and prevent further complications.