Case Study: Pediatric Respiratory System
Will is a 4-month-old infant born at 34 weeks of gestation. Will’s mother states that he has not been able to go to day care because he has been coughing with a fever for the past 3 days. She states today he is unable to feed well from the bottle because of nasal secretions.
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Subjective Data
- Mother complains that infant has had cough for 3 days
- Mother states that infant is having trouble sleeping
- Not voided in past 6 hours
Objective Data
- Birth Weight: 1.9 kg
- Today’s Weight: 5.5 kg
- Vital Signs: T 38° C, P 186, R 60, BP 90/52, Pulse Oximetry 93%
- Thick yellow nasal secretions
- Nasal flaring with moderate intercostal retractions
- Breath sounds decreased with crackles bilaterally to auscultation
7. Question 1
What risk factors does Will have for contracting bronchiolitis?
8. Question 2
What is the first priority for Will’s treatment?
9. Question 3
What should the nurse do in this clinical situation? Prioritize actions.
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