A nurse is providing care for a 3-month-old infant diagnosed with RSV bronchiolitis. The infant is tachypneic, rubbing his eyes, and appears sleepy.
The mother places the infant flat, but the baby becomes more short of breath and irritable. Which of the following is the best advice for the nurse to give?

Choice A rationale

An average daily intake of about 3,000 calories is too high for a toddler. The recommended caloric intake for a toddler varies depending on age, size, and activity level, but it is generally much lower than 3,000 calories.

Choice B rationale

“The quality of food I provide him is more important than the quantity.”. This statement indicates an understanding of the teaching. It’s important to focus on providing nutrient-dense foods rather than just a large quantity of food.

Choice C rationale

Expecting an increased appetite in a toddler is not necessarily accurate. Toddlers often have variable appetites and may eat well one day and eat very little the next.

Choice D rationale

Giving a toddler an adult vitamin is not recommended. Toddlers have different nutritional needs than adults, and some vitamins and minerals can be harmful in large amounts. It’s better to focus on providing a balanced diet.

Choice A rationale

An 18-month-old who has a high fever, coughs hard, and has a runny nose requires urgent care. High fever in a child can be a sign of a serious infection or other medical condition. The hard coughing could indicate a respiratory issue such as bronchitis or pneumonia, which can be serious in young children. The runny nose is another symptom of a possible respiratory infection.

Choice B rationale

A one-year-old who has a slight fever, a rash, and green secretions may not require urgent care but should still be seen by a healthcare provider. A slight fever can be a sign of a minor infection, which may resolve on its own or with over-the-counter remedies. However, a rash

and green secretions could indicate a bacterial infection, which may require antibiotic treatment.