Question 19

19.   Your patient is a 6 week old brought into the hospital because of cough and nasal congestion.  Your patient’s lungs are clear, there are no retractions, or signs of respiratory distress.  Vital signs are Temp-97.5 Rectal, Sat-99%, RR-28, Pulse 136.  The child looks well and has been feeding well. He is full term.  The triage nurse has ordered a Chest X Ray that shows “mild bronchiolitis” and an RSV that came back positive.  Based upon this data, which is the best management option?

A.   Discharge the patient home.

B.  Admit the patient to the hospital

C.  Order an albuterol aerosol and reassess the patient

D. Order Synagis IM Stat