A 3-month-old infant is hospitalized with a diagnosis of bronchiolitis. The nurse is creating a plan of care for the infant. Which intervention is a priority?
Explanation & Rationale
Choice A reason: Maintaining adequate oxygenation is the priority in bronchiolitis, which is a viral lower respiratory tract infection that causes inflammation and obstruction of the small airways. Hypoxia is a major concern, and oxygen therapy is essential to support respiratory function and prevent complications. Targeting oxygen saturation ≥92% ensures sufficient tissue perfusion and is a standard clinical goal. Choice B reason: Bronchiolitis is typically caused by respiratory syncytial virus (RSV) and does not require antibiotics unless there is a secondary bacterial infection. Teaching about antibiotics is not appropriate unless prescribed, and it is not the priority during acute care. Choice C reason: Parental presence is beneficial for emotional support and bonding, but it is not the clinical priority. While encouraged, it does not directly address the infant’s respiratory needs. Choice D reason: Infants with bronchiolitis may have difficulty feeding due to respiratory distress, but they are not routinely kept NPO unless severely compromised. Nutrition and hydration are important, and feeding may be adjusted based on respiratory status.