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  Nathian is an 11 month-old boy. He has a medical history significant for cerebral palsy, seizures, prematurity, developmental delay, and gastrostomy. The patient receives nursing services Monday-Friday while his mother works as an elementary school teacher. On Monday, the mother reported that Nathan had a stuffy nose and slight cough over the weekend. During the assessment, the nurse observes the patient to have a productive cough and slightly increased respiratory rate. The patient often demonstrates adventitious lung sounds due to an inability to control secretions. The nurse continues to observe the infant throughout the shift. During the afternoon hours, the nurse observes the patient to have a worsening productive cough, respiratory rate of 54 breaths/min, chest retractions, and nasal flaring. Ausculatation reveals generalized expiratory wheezing and fine crackles through the lung fields. She also notes that the patient’s nutritional intake is reduced and he is lethargic. She notifies the mother and physician. The patient is taken to the ER for evaluation, diagnosed with RSV, and is admitted for further observation.

What is the usual treatment for acute bronchitis?

Identify patient / family education / interventions that would be helpful for this family during Nathan’s illness.

SCIENCE
HEALTH SCIENCE
NURSING

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