Certified Pediatric Nurse (CPN)

What should be included in the care plan for an infant recovering from bronchiolitis?

1. Regular assessments of respiratory status

2. No interventions until the child shows signs of respiratory distress

3. Immediate administration of broad-spectrum antibiotics

4. Regular vital sign monitoring every hour

The correct answer is: Regular assessments of respiratory status

Including regular assessments of respiratory status in the care plan for an infant recovering from bronchiolitis is crucial for several reasons. Bronchiolitis, which is typically caused by viral infections such as respiratory syncytial virus (RSV), can lead to significant respiratory distress, particularly in infants. Continuous and thorough evaluation of the infant's respiratory status allows healthcare providers to monitor for changes in breathing patterns, the effectiveness of treatment, and the potential need for additional interventions. Early identification of any deterioration in respiratory function is essential, as this can guide timely interventions that may prevent further complications. Regular assessments can include monitoring respiratory rate, effort, presence of wheezing or crackles, and oxygen saturation levels. This approach not only helps in assessing the severity of the condition but also ensures that care remains responsive to the infant's immediate needs. Although monitoring vital signs is also important in the overall nursing care of a pediatric patient, the specific focus on respiratory status is particularly vital in the context of bronchiolitis due to the risk of acute changes. While other choices may reflect slightly relevant aspects of care, they do not prioritize the immediate and ongoing needs related to respiratory monitoring in the context of this condition.