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Respiratory Syncytial Virus Hesi Case Study


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Respiratory Syncytial Virus (RSV) BronchiolitisMeet the Client: Grace HicksSix-week-old Grace arrives in the emergency department (ED) by ambulance withher mother Wendy. The mother states that the infant has had a 2-day history of cold symptoms. Today, the infant became limp and cyanotic and was not breathing. The mother revived the infant by performing mouth-to-mouth resuscitation. An ambulance arrives, and the emergency medical technician (EMT) stabilizes Grace before transporting the infant to the ED. This information is reported to the nurse by the EMT upon the infant’s arrival to the ED.Instructions:While taking this case study, all questions must be answered correctly before you will be able to proceed to the next page. For all incorrect answers, select a new response and click the Nextbutton. When all questions have been answered correctly, clicking the Nextbutton will display the next page.Page 11.AssessmentWhen the nurse enters the room she finds Grace crying in her mother's arms. Thenurse and Wendy calm Grace, and then the nurse auscultates the infant's lungs. Coarse bilateral wheezes are detected, but the infant does not appear in acute distress at this time.2.1.ID: 6975234130What action should the nurse take next?A.Perform nasal suctioning.Since the infant is not in distress, nasal suctioning is not necessary at this time.B.Continue respiratory assessment. CorrectThe nurse should complete the respiratory assessment, as this will provide important baseline information for the healthcare provider (HCP). C.Call the emergency response team.Since the infant is not in acute distress, calling the emergency response teamis not necessary at this time.D.Document assessment findings.