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    Ati Rn Paediatrics Nursing 2023 Proctored Exam

    A nurse is planning care for an 8-month-old infant who has bronchiolitis. Which of the following actions should the nurse include in the plan of care?

    Explanation & Rationale

    A. Use a bulb syringe to suction the nares: Infants with bronchiolitis often have nasal congestion that can interfere with breathing and feeding. Using a bulb syringe to gently suction the nares helps maintain airway patency and promotes effective oxygenation, which is a key nursing intervention for this age group. B. Administer a meningococcal vaccine upon admission: Meningococcal vaccination is not indicated for the acute management of bronchiolitis. Immunizations are typically given according to routine schedules and are not part of emergency care for viral respiratory infections. C. Place the infant in a room with negative-pressure airflow: Negative-pressure rooms are primarily used for airborne infections such as tuberculosis. Bronchiolitis is spread through droplet transmission, so standard or contact precautions are sufficient, making negative-pressure rooms unnecessary. D. Initiate IV antibiotic therapy: Bronchiolitis is most commonly caused by viral pathogens, such as respiratory syncytial virus (RSV), and does not require antibiotics unless there is a secondary bacterial infection. Routine IV antibiotic therapy is not indicated for uncomplicated bronchiolitis.

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