A nurse is taking vital signs on an infant diagnosed with bronchiolitis. Which of the following findings should the nurse immediately report to the provider?

Heart rate of 152 beats per minute

Temperature of 99.5°F (37.5°C)

Respiratory rate of 74 breaths per

Blood pressure of 90/60 mmHg

Answer and Explanation

The Correct Answer is C

A.   An elevated heart rate can be expected in infants with bronchiolitis due to increased work of breathing.
B.   A slight elevation in temperature may be indicative of infection but is not an immediate concern.
C.   A respiratory rate of 74 breaths per minute may indicate respiratory distress and warrants immediate attention.
D.   A blood pressure of 90/60 mmHg is within the normal range for infants and not immediately concerning.

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Correct Answer is A

Explanation

A. Keeping the thermometer in the toddler's room allows for easy access to monitor temperature fluctuations, which is important in managing RSV.
B. Negative air pressure rooms are not typically required for RSV.

C. RSV is primarily spread through droplets, so standard precautions are sufficient.

D. Allowing the toddler to play in the common room may expose other children to RSV.

A. Vanilla milkshake B. Crushed ice C. Cranberry juice D. Orange juice

Correct Answer is B

Explanation

A. Vanilla milkshake may be too heavy and may irritate the surgical site.

B. Crushed ice can soothe the throat and help prevent bleeding by constricting blood vessels.
C. Cranberry juice may be too acidic and could irritate the surgical site.

D. Orange juice is acidic and may be too harsh for the throat immediately postoperatively.

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A nurse is taking vital signs on an infant diagnosed with bronchiolitis. Which of the following findings should the nurse immediately report to the provider?

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