The nurse is planning care for a child with respiratory syncytial virus (RSV) bronchiolitis with Impaired Gas Exchange. Which of the following should be included in this client's plan of care?
1. Monitor vital signs and pulse oximetry
2. Weigh daily
3. Weigh diapers
4. Provide frequent rest periods
1. Monitor vital signs and pulse oximetry
Rationale:
Interventions appropriate for the client with Impaired Gas Exchange due to RSV bronchiolitis include monitoring vital signs, pulse oximetry, breathing pattern, and administer oxygen. Daily weight would be appropriate for the diagnosis of Impaired Nutrition: Less than Body Requirements. Weighing diapers would be appropriate for the diagnosis of Fluid Volume Deficit. Providing frequent rest periods would be appropriate for the diagnosis of Activity Intolerance.
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