Infants with RSV do NOT benefit from which of the following? ...

[schs14]

Infants with RSV do NOT benefit from which of the following?
 
  a. Chest percussion and drainage (CPT & D)
  b. High-flow nasal cannula therapy (HFNC)
  c. Bulb suctioning of the nares
  d. Nebulized hypertonic saline

Question 2

A chest radiograph was taken of a patient with RSV. What finding can be expected?
 
  a. Elevated diaphragms
  b. Steeple point sign
  c. Lobar atelectasis
  d. Pneumothorax

[nyrave]

Answer to Question 1

A
Infants with RSV bronchiolitis do not benefit from chest percussion and drainagein fact, its use is discouraged. Patient agitation associated with percussion therapy may exacerbate small airway obstruction.

Answer to Question 2

C
Secretions may completely occlude a lobar bronchus leading to lobar atelectasis. An infant with RSV is more likely to have depressed diaphragms due to air trapping. The steeple point sign is associated with croup. Pneumothorax is not a common finding in a neonate with RSV.