Pediatric Respiratory Disorders (Croup, RSV) · NCLEX Exam

A toddler with bronchiolitis remains adequately fed and oxygenated, with O₂ sat 95% on room air, mild wheeze and no dehydration. According to many pathways, what is the likely next step?

  1. Admit for intravenous fluids and elective mechanical ventilation
  2. Manage as an outpatient with supportive home care and follow-up
  3. Start high-dose systemic corticosteroids before discharge home
  4. Give nebulised albuterol every hour despite only mild wheeze
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Correct answer: Manage as an outpatient with supportive home care and follow-up

When an infant with bronchiolitis is stable (adequate oral intake, acceptable sat, mild work of breathing) outpatient management with education is appropriate.

Difficulty: Medium Question 14 of 18

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