Question

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.

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

Question 1

What risk factors does Will have for contracting bronchiolitis?

Question 2

What is the first priority for Will’s treatment?

Question 3

What should the nurse do in this clinical situation? Prioritize actions.

Answer 1

answer;

1)risk factors;

1. poor breast feeding:breast milk has immunogloblins and helps in fighting against the disease.it provide immmunity power.so,with the poor breast feeding infant is easily get infection
2. pre term baby;baby is born at 34 weeks of gestation and there is reducing surfactant.surfactant is mainly helps in reduce the surface tension.by their preterm effect poor development occur in the respiratory sytem.it is easly prone to infection.

2).treatment;

• first we have to treat the fever of infant.
• by giving paracetamol syrup,we reduce the temperature of infant.

3).nurse check the temperature of the infants and admit to the hospital,after giving the paracetamol syrup and the temperature get reduce. nurse advice to the mother about providing exclusive breast feeding.

Nurse have to inform the doctor about the situation of the child and doctor carry out the antibiotic treatment for the bronchiolitis.