Which nursing diagnosis should the nurse include in the plan of ...

[silviawilliams41]

Which nursing diagnosis should the nurse include in the plan of care for an infant diagnosed with acute bronchiolitis due to respiratory syncytial virus (RSV)?
 
  1. Activity Intolerance
  2. Ineffective Peripheral Tissue Perfusion
  3. Acute Pain
  4. Decreased Cardiac Output

Question 2

The mother of a toddler-age client states, My daughter seems to be at an increased risk for complications associated with respiratory infections. Which response by the nurse is accurate?
 
  1. You are incorrect in your assessment.
  2. The younger child's airways are smaller and more easily occluded.
  3. Air passages are more likely to become blocked with mucus because younger children make more mucus than older children.
  4. Toddlers do not breathe as deeply as do older children.

[amandalm]

Answer to Question 1

1
Explanation:
1. Activity Intolerance is a problem because of the imbalance between oxygen supply and demand.
2. Tissue perfusion (peripheral) is not affected by this respiratory disease process.
3. Acute Pain is not usually associated with acute bronchiolitis.
4. Cardiac Output is not compromised during an acute phase of bronchiolitis.

Answer to Question 2

2
Explanation:
1. The mother is correct in her statement.
2. Airways are smaller in the younger child and are more easily occluded when mucus is produced.
3. Blockage of air passages with mucus is not related to the age of the child but more to the etiology of mucus production and the continuation of the causative agent.
4. Depth of breathing is not age dependent.