An infant diagnosed with respiratory syncytial virus is being discharged. Which instruction should the nurse include in caregiver education?

A. Place in a prone position during sleep to help breathing: Infants should always be placed in the supine position for sleep to reduce the risk of sudden infant death syndrome (SIDS). Although prone positioning may sometimes improve ventilation in monitored clinical settings, it is unsafe for home sleep environments. B. Administer albuterol nebulizer treatments every 4 hours: Respiratory syncytial virus (RSV) commonly causes bronchiolitis, where airway inflammation and mucus production impair airflow. Routine use of bronchodilators such as albuterol is generally not recommended because evidence shows limited benefit in typical RSV infections. C. Perform bulb syringe suction with nasal saline drops: RSV causes significant nasal congestion and thick secretions, which can obstruct the infant’s narrow nasal passages and interfere with feeding and breathing. Instilling saline drops followed by gentle suction with a bulb syringe helps loosen and remove secretions. This intervention improves airway patency, making breathing and feeding easier for the infant. D. Recline when feeding to decrease work of breathing: Feeding infants in a reclined position increases the risk of aspiration and may worsen breathing difficulties. Infants with respiratory illness should be held in a more upright position during feeding to facilitate breathing and swallowing coordination. Upright positioning also helps reduce fatigue and choking.