A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux (GER). The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching?

Condition Most Likely Experiencing: Bronchiolitis

The infant's symptoms—fever, cough, nasal congestion, wheezing, nasal flaring, intercostal retractions, and difficulty feeding—are characteristic of bronchiolitis, commonly caused by RSV in infants.

Actions to Take:

• Administer Oxygen via nasal cannula: The infant's low oxygen saturation (88% on room air) and respiratory distress (nasal flaring, retractions) indicate the need for supplemental oxygen to ensure adequate oxygenation and reduce respiratory distress.
• Suction nares with a bulb aspirator: Suctioning the infant’s nasal passages helps clear mucus and improve breathing. Infants with RSV often have significant nasal congestion that can impair feeding and breathing, so clearing the airways is crucial for respiratory management.

Parameters to Monitor:

• Oxygen saturation via continuous pulse oximetry: Monitoring oxygen saturation provides critical information on the infant’s respiratory status and helps assess the effectiveness of oxygen therapy.
• Respiratory effort and breath sounds: The infant is showing signs of increased respiratory effort (e.g., nasal flaring, intercostal retractions) and abnormal breath sounds (e.g., wheezes). Monitoring these parameters helps assess the severity of respiratory distress and guides further interventions.

A. The child's BMI: Children with cystic fibrosis often have difficulty absorbing nutrients due to pancreatic insufficiency. Monitoring the child's BMI provides a good overall indicator of nutritional status, as it accounts for both weight and height.
B. The child's pancreatic enzyme dose: While important, the enzyme dose is adjusted to help the child digest food, but it does not directly assess nutritional status.
C. The child's diet: The diet is important, but it doesn't provide a direct, quantifiable measure of nutritional status. It's more of a management tool.
D. The child's stool analysis: Stool analysis can help assess malabsorption, but it does not directly reflect overall nutritional status in terms of growth or weight gain.