NCLEX Practice Test

Which interventions would the nurse anticipate for a 2-month-old infant admitted with respiratory syncytial virus and bronchiolitis? Select all that apply.

1. Administer antipyretics

2. Initiate IV fluids

3. Keep the head of the bed flat

4. Maintain isolation precautions

5. Suction as needed

The correct answer is: Administer antipyretics

In the context of a 2-month-old infant admitted with respiratory syncytial virus (RSV) and bronchiolitis, several key interventions are important to ensure proper care and management of the infant’s condition. Administering antipyretics is an appropriate intervention since infants may develop fevers, and managing fever can help keep the infant more comfortable and avoid the potential for dehydration. Initiating IV fluids is also crucial, particularly in infants with bronchiolitis, as they may have increased work of breathing and decreased oral intake due to fatigue or respiratory distress. Providing IV fluids helps maintain hydration and ensures the infant receives necessary fluids and electrolytes. Maintaining isolation precautions is essential to prevent the spread of RSV, which is highly contagious, especially in a hospital setting. Infants are particularly vulnerable, and protecting them from further infections is a priority. Suctioning as needed is important because infants with bronchiolitis can have increased secretions that may obstruct the airway. Gentle suctioning can help clear the airways, thereby improving the infant's ability to breathe and facilitating adequate oxygenation. Keeping the head of the bed flat is not advisable because positioning can play a critical role in respiratory distress. Elevating the head of the