ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A 3-month-old infant diagnosed with RSV bronchiolitis, tachypneic, rubbing eyes, appears sleepy, becomes more short of breath and irritable when laid flat.
Question 1 of 5
A nurse is providing care for a 3-month-old infant diagnosed with RSV bronchiolitis. The infant is tachypneic, rubbing his eyes, and appears sleepy. The mother places the infant flat, but the baby becomes more short of breath and irritable. Which of the following is the best advice for the nurse to give?
Correct Answer: D
Rationale: The correct answer is D: Advise swaddling the baby and placing the baby on its back at a 30-degree angle in the crib. This is the best advice because swaddling can provide comfort and security to the infant, helping to reduce irritability and promote better sleep. Placing the baby on its back at a 30-degree angle can help with breathing by allowing the airways to remain open and reducing the risk of aspiration. This positioning also helps with drainage of secretions.
Option A is incorrect because rocking the baby to sleep may not address the underlying respiratory distress. Option B is incorrect as it does not consider the infant's need for a specific positioning to aid breathing. Option C is incorrect as feeding the baby before laying down may worsen respiratory distress.
In summary, swaddling and positioning the baby on its back at a 30-degree angle in the crib are the best strategies to help manage the infant's condition and promote better breathing.
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