Certified Pediatric Nurse (CPN)

For a 6-month-old with RSV, what aspect should be included in the plan of care?

1. Administer IV fluids at 1/2 maintenance

2. Administer albuterol every 4 hours as needed

3. Place the patient on a pulse ox and administer O2 as necessary

4. Offer oral hydration frequently

The correct answer is: Place the patient on a pulse ox and administer O2 as necessary

Caring for a 6-month-old with Respiratory Syncytial Virus (RSV) involves closely monitoring the child's respiratory status due to the viral nature of the illness, which primarily affects the airways. Placing the patient on a pulse oximeter allows for continuous monitoring of oxygen saturation levels, which is critical in assessing the severity of respiratory distress. If the child's oxygen saturation falls below the normal range, supplemental oxygen can be administered as necessary to maintain adequate oxygenation. This approach ensures that any deterioration in the child's condition can be addressed promptly. Monitoring oxygen levels is particularly important in young children, as they can rapidly develop respiratory distress. Therefore, this aspect of care is essential for the safety and well-being of a child with RSV. The other choices may have relevance in specific scenarios but do not address the immediate and most pressing need for monitoring respiratory function and oxygenation. Administering IV fluids or requiring albuterol might not always be needed for RSV management, especially if there is no evidence of asthma or wheezing. Frequent oral hydration is also beneficial; however, ensuring proper oxygenation takes precedence in this acute setting.