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 C

Explanation

A. Decreased heart rate can indicate relaxation or sleepiness, not necessarily pain.

B. Decreased respiratory rate might indicate relaxation or sleepiness, not necessarily pain.
C. Increased crying episodes are a common indicator of pain in infants.

D. Increased formula consumption may indicate hunger or normal feeding patterns, not necessarily pain.

A. "We will give our child pancreatic enzymes before snacks and meals." B. "We will restrict the amount of salt in our child's food." C. "I will limit my child's fluid intake." D. "I will prepare low-fat meals with limited protein for my child."

Correct Answer is A

Explanation

A. Giving pancreatic enzymes before snacks and meals helps improve digestion and absorption of nutrients in children with CF.
B. Restricting salt intake is not typically necessary in CF; in fact, salt supplementation may be required, especially during hot weather or during episodes of increased sweating.
C. Limiting fluid intake is not typically necessary in CF; adequate hydration is important to maintain mucus clearance.
D. Children with CF often require a high-calorie, high-protein diet to meet their nutritional needs and support growth and weight gain.

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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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