NURSE-UN 1255 Study Guide - Final Guide: Congenital Heart Defect, Vaccination Schedule, Tachypnea
29 Apr 2019
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Delilah jones is a 4-month-old female brought in by her parent for cough and runny nose. Upon inspection, you notice she is breathing at a rate of 56 breaths per minute and has moderate subcostal and substernal retractions. Upon auscultation, you hear wheezing to bilateral lung fields. Cardiac assessment reveals rapid rate, regular rhythm and 2+ pulses bilaterally. Abdomen is soft and non-tender: identify five risk factors that would predispose an infant for bronchiolitis. List three other clinical manifestations of bronchiolitis and explain what each means. The clinical manifestations of bronchiolitis the patient is exhibiting are tachypnea, subcostal and substernal retractions, and wheezing. Three other clinical manifestations of bronchiolitis are the patient may be air-hungry, meaning the patient is gasping for air; the use of accessory muscles to breathe; and the patient may appear uninterested in feeding (carman, 2016). A patient with rsv bronchiolitis is on droplet precaution.
