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    STU 25SUM1 Pediatric Competency Proctored Exam

    A 2-year-old patient has been diagnosed with acute bronchiolitis. In the home instructions, the nurse practitioner specifies that the child:

    Explanation & Rationale

    Rationale: A. Isolation from daycare is generally recommended while the child is symptomatic to prevent transmission, but a fixed 7-day period is not always necessary; symptom resolution varies. B. Antipyretics should be given as needed for fever or discomfort, not routinely every 4 hours for multiple days. C. Acute bronchiolitis typically presents with symptoms that peak within 1–3 days, with gradual improvement. Most children experience complete resolution within 10–14 days, which is important for caregivers to understand to prevent unnecessary concern or overuse of medications. D. Antibiotics are not indicated for viral bronchiolitis, even if nasal discharge becomes purulent, as the infection is viral and antibiotics are ineffective.

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