Moderate

A 5-month-old with bronchiolitis has rapid breathing, nasal secretions, subcostal recession, and an oxygen saturation of 89%. The child is alert and has a patent airway. Which action should the nurse take first?

Correct answer: A. Clear the nasal secretions and give prescribed oxygen

  • A. Clear the nasal secretions and give prescribed oxygen
  • B. Offer a large bottle feed to improve hydration quickly
  • C. Place the infant prone and leave the airway undisturbed
  • D. Administer an oral antibiotic before reassessing breathing

Explanation

Nasal blockage greatly increases breathing difficulty in infants, so gentle suction followed by oxygen addresses airway and breathing first. A large feed may increase aspiration risk, and antibiotics do not treat uncomplicated viral bronchiolitis.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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About Paediatric Emergencies

Paediatric emergencies cover rapid assessment using airway, breathing and circulation, basic life support, respiratory distress, choking, shock, seizures, poisoning, burns, severe dehydration and trauma. Questions focus on recognising danger signs, prioritising immediate nursing actions, calculating weight-based treatment and distinguishing compensated from decompensated shock.

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