Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to respiratory syncytial virus (RSV)?

1. Activity Intolerance
2. Decreased Cardiac Output
3. Pain, Acute
4. Tissue Perfusion, Ineffective (peripheral)


Correct Answer: 1
Rationale: Activity intolerance is a problem because of the imbalance between oxygen supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory-disease process.

Nursing

You might also like to view...

The nurse notes a run of three ventricular contractions (PVC) that are not preceded by a P wave. This particular arrhythmia can progress into:

a. atrial fibrillation and possible emboli. b. sinus tachycardia and syncope. c. ventricular tachycardia and death. d. sinus bradycardia and fatigue.

Nursing

The nurse carefully measures drainage during the first 24 hours after surgery on a patient with a Jackson-Pratt drain. It is considered abnormal if the drainage exceeds:

a. 50 mL. b. 100 mL. c. 200 mL. d. 300 mL.

Nursing

The nurse is admitting a patient to the cardiac care unit with complaints of dyspnea on exertion and fatigue. The patient's electrocardiogram (ECG) shows dysrhythmias associated with left ventricular hypertrophy

What diagnostic tool would be the most helpful in diagnosing cardiomyopathy? A) Cardiac catheterization B) Arterial blood gases (ABGs) C) Echocardiogram D) Swan-Ganz analysis

Nursing

The nurse has identified the diagnosis Self-Care Deficit for an older patient with hyposmia. What should the nurse teach the patient prior to being discharged to home? Standard Text: Select all that apply

1. Date and label all foods. 2. Remove kitchen waste weekly. 3. Use colognes as bath substitute. 4. Establish a schedule for house cleaning. 5. Place natural gas detectors near gas heater or stove.

Nursing