Several hours after being admitted to the acute care, the nu…

Questions

Severаl hоurs аfter being аdmitted tо the acute care, the nurse finds the infant tо have increased retractions, now including subclavicular, intercostal, and subcostal retractions along with tracheal tugging and nasal flaring. The infant continues to have wheezing with a respiratory rate of 80 breaths/min, oxygen saturation of 86% on blow by oxygen and a temperature of 102.1 °F. The infant appears dusky, fatigued, and slow to react.  Which nursing actions are indicated for the infant’s care at this time? Select all that apply.