When auscultating breath sounds of an infant with respiratory syncytial virus, which assessment would the nurse immediately report?

a. Respiration rate decrease from 40 to 32 breaths/min
b. Heart rate decrease from 110 to 100 beats/min
c. "Quiet chest" from previous assessment of wheezing
d. Oxygen saturation of 90%


ANS: C
A "quiet chest" after assessment of wheezing indicates occlusion of air pathways and impending respiratory arrest. All other options are within normal range for infants undergoing oxygen administration.

Nursing

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