Exhibits

The nurse is teaching Lily purse-lip breathing. She should instruct her to inhale slowly through her:

A. Placing infants on their backs or sides for sleep:The "Back to Sleep" campaign recommends placing infants on their backs for all sleep times to significantly reduce the risk of SIDS. Back sleeping it keeps the airway more open and reduces the chance of suffocation.

B. Positioning the infant prone for sleep:Placing an infant on their stomach increases the risk of SIDS due to potential airway obstruction and rebreathing of exhaled carbon dioxide. This position is strongly discouraged by pediatric guidelines for safe sleep.

C. Wrapping the infant snugly for rest periods:Swaddling can be safe if done correctly, but wrapping too tightly, especially around the chest or hips, and using loose blankets can increase the risk of overheating or suffocation.

D. Sitting the infant up in an infant seat:Keeping an infant in a sitting position for sleep, such as in a car seat or infant carrier, increases the risk of airway obstruction and is not recommended for routine sleep. Infants should sleep on a flat, firm surface to reduce the risk of SIDS.

A. Administer an NSAID for discomfort:While fever and discomfort may contribute to restlessness, NSAIDs do not address the most urgent concern, which is potential hypoxia. Treating symptoms without first assessing respiratory function may delay appropriate intervention.

B. Assess the patient's O₂ saturation:Increasing restlessness and confusion in a pneumonia patient can be early signs of hypoxia, especially in older adults. Oxygen saturation should be evaluated immediately to determine if the patient needs supplemental oxygen or further respiratory support.

C. Check the MAR for an order for a mild sedative:Sedatives may worsen confusion and can depress respiratory drive, particularly in hypoxic patients. Administering a sedative without first ruling out hypoxia may pose significant risk.

D. Take the patient off of oral fluids:Unless there are clear signs of aspiration or decreased level of consciousness, discontinuing oral fluids is not an appropriate first step. Hydration is important in pneumonia to help thin secretions and support recovery.