SOLVED1183

A nurse is assisting with the care of an infant. Nurses’ Notes Vital Signs Nurses’ Notes 1500: Infant admitted with bronchiolitis. Parent reports infant has had “a runny nose, cough, and fever over the last few days that keeps getting worse.” Parent also reports the infant has had poor oral intake for the past 24 hr. Infant fussy in parent’s arms with frequent cough noted. Moderate yellow nasal drainage present. Bilateral wheezing noted on auscultation. Respirations rapid, but unlabored. 1630: Severe nasal congestion with copious secretions noted. Audible wheezing noted with substernal and intercostal retractions. Infant crying and clinging to parent. Parent reports infant has not voided for 12 hr. For each nursing action, click to specify if the action is indicated, nonessential, or contraindicated for the infant. Nursing Action Indicated Nonessential Contraindicated Administer a bronchodilator. Administer oxygen. Administer antipyretics. Perform nasal suctioning with aspirator. Encourage oral fluids. Perform routine chest percussion. Initiate IV fluids.?
SCIENCE
HEALTH SCIENCE
NURSING

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