Which of the following assessment findings would indicate that interventions provided for a client with respiratory syncytial virus (RSV) bronchiolitis have been effective?
1. Client resting in bed with limited interest in play activities
2. Client ingesting small amounts of clear fluids when encouraged
3. Client respiratory rate within normal limits for age
4. Client coughing copious amounts of green sputum and requires occasional suctioning
3. Client respiratory rate within normal limits for age
Rationale:
Evidence that care is effective would include normal rate, rhythm, and quality of the breathing patterns for the client's age. The client who is resting in bed with limited interest in play is not demonstrating an improvement in respiratory status. The client who is ingesting small amounts of fluids might still be experiencing thickened secretions. If the client is coughing copious amounts of green sputum and requiring occasional suctioning, the interventions have not been effective since the child still needs assistance with clearing the airway.
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