Case scenario: A 10-year-old child with a history of moderat…

Case scenario: A 10-year-old child with a history of moderate persistent asthma is admitted to the pediatric intensive care unit (PICU) with severe respiratory distress. The parent reports that the child has been coughing and wheezing for two days and did not improve after multiple nebulized albuterol treatments at home.On assessment, the nurse notes:The child is sitting upright, leaning forward, using accessory muscles to breathe.Breath sounds are markedly diminished with faint wheezing.Respiratory rate: 38/min; Heart rate: 128 bpm; O₂ saturation: 88% on room air.The child is anxious, diaphoretic, and speaks in single-word sentences.Use the information provided to complete the following:Select the condition most likely being experienced by the child.Select two nursing actions the nurse should take.Select two parameters the nurse should monitor.

HistoryA 3-month-old infant is brought to the emergency depa…

HistoryA 3-month-old infant is brought to the emergency department by her parents, who report that she has had cold-like symptoms for one week, including mild cough, runny nose, and low-grade fever. Over the past two days, the cough has become more severe and occurs in prolonged spasms, followed by a high-pitched “whooping” sound. The parents say the infant turns red and occasionally vomits after coughing episodes. The child has not yet received the full series of DTaP immunizations.Physical AssessmentClient is awake, alert, but appears irritable and fatigued between coughing episodes. Pupils equal, round, and reactive to light. Nasal congestion audible with clear rhinorrhea. Shotty cervical lymphadenopathy noted. Normal S1 and S2 sounds, no murmur. Lungs sound with scattered crackles in all lung fields, no wheezing. Persistent periods of coughing with inspiratory “whoop”. Normoactive bowel sounds, abdomen nontender, no masses felt. Post-tussive emesis noted x3. Pulses 2+ in all four extremities, capillary refill time less than 3 seconds. Vital Signs·      Temperature: 101.8°F (38.2°C)·      Heart Rate: 160 bpm·      Respiratory Rate: 44/min·      SpO₂: 94% on room air·      Pain: FLACC 3Which nursing interventions are appropriate for the care of this infant? (Select all that apply.)