Practice Question
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Answer Choices:
Correct Answer:
Oxygen saturation < 90% or central cyanosis.
Rationale:
✅ Respiratory syncytial virus (RSV) can cause serious lower respiratory tract infections in infants, and signs of hypoxemia or central cyanosis require immediate intervention.
✅ An oxygen saturation <90% indicates severe impairment in oxygen exchange, placing the infant at risk for respiratory failure.
✅ Central cyanosis (blue lips or tongue) reflects inadequate oxygenation at a critical level.
✅ This is a medical emergency that demands prompt oxygen support and escalation of care.
✅ Reporting this ensures timely interventions such as hospitalization or mechanical support.
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This question is from RN ATI Nursing Care of Children ~2019 which contains 71 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4