A 2-month-old infant with bronchopulmonary dysplasia (BPD) is being prepared for discharge from the neonatal intensive care unit. The infant will continue to receive oxygen via nasal cannula at home. Prior to discharge, the home health nurse assesses the home. Which finding poses the greatest risk to this infant?
1. Paint peeling on the walls
2. A wood stove used for heating
3. A sibling who has an ear infection
4. Small toys strewn on the floor
2
Explanation:
1. Paint peeling from the wall will pose a choking risk to the older infant who is crawling.
2. Assessment of the home environment is essential prior to discharge of a medically fragile infant. The use of a wood stove poses great risk to the infant who already has fragile lungs and is a fire hazard when using oxygen in the home environment.
3. Ear infections are not contagious.
4. Small toy pieces will pose a choking risk to the older infant who is crawling.
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