A 2-month-old infant with bronchopulmonary dysplasia (BPD) is being prepared for discharge from the neonatal intensive-care unit (NICU). 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. Small toys strewn on the floor
2. A woodstove used for heating
3. A sibling who has an ear infection
4. Paint peeling on the walls
Correct Answer: 2
Rationale: Assessment of the home environment is essential prior to discharge of a medically fragile infant. The use of a woodstove poses great risk to the infant who already has fragile lungs. Oxygen and woodstove heat will produce a flammable reaction. Small toy pieces and paint peeling from the wall will pose a choking risk to the older infant who is crawling. Ear infections are not contagious.
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