The nurse is planning care for a child with respiratory syncytial ...

[vHAUNG6011]

The nurse is planning care for a child with respiratory syncytial virus (RSV) bronchiolitis with the nursing diagnosis of Impaired Gas Exchange.
 
  Which interventions should be included in the child's plan of care?
  Select all that apply.
  A) Weigh daily.
  B) Monitor vital signs and pulse oximetry.
  C) Administer oxygen as prescribed.
  D) Weigh diapers.
  E) Provide frequent rest periods.

Question 2

The nurse assesses fatigue in an infant with acute bronchiolitis due to respiratory syncytial virus (RSV). Which nursing diagnosis would be most appropriate for the infant?
 
  A) Acute Pain
  B) Ineffective Tissue Perfusion
  C) Activity Intolerance
  D) Decreased Cardiac Output

[ngr69]

Answer to Question 1

Answer: B, C

Interventions appropriate for the client with the nursing diagnosis of Impaired Gas Exchange due to RSV bronchiolitis include monitoring vital signs, pulse oximetry, and breathing pattern, and administering oxygen. Daily weight would be appropriate for the nursing diagnosis of Impaired Nutrition: Less than Body Requirements. Weighing diapers would be appropriate for the nursing diagnosis of Fluid Volume Deficit. Providing frequent rest periods would be appropriate for the nursing diagnosis of Activity Intolerance.

Answer to Question 2

Answer: C

Activity intolerance is a problem because of the imbalance between oxygen supply and demand. Increased levels of fatigue may indicate the disease is more severe. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis. Tissue perfusion is not affected by this respiratory disease process.

[vHAUNG6011]

Gracias!

[Liddy]

Excellent