In caring for a 12-month-old with a respiratory infection, which nursing intervention is the highest priority?

• A. Give small, frequent feedings of fluids.
• B. Accurately chart observations regarding breath sounds.
• C. Have a bulb syringe readily available to remove secretions.
• D. Encourage older siblings to visit.

Answer: (C)

In the management of a 12-month-old patient with a respiratory infection, having a bulb syringe readily available to remove secretions is a critical nursing intervention. Infants and young children often have limited ability to clear secretions on their own, and excess mucus can lead to airway obstruction and increased respiratory distress.

The priority in such cases is to ensure that the airway remains patent and clear. A bulb syringe provides a means of quickly and effectively suctioning out mucus from the nasal passages, helping to improve the child’s ability to breathe comfortably and reducing the risk of complications such as hypoxia or further respiratory distress.

While providing fluids and accurately charting observations are important components of overall care, they do not address the immediate need to maintain airway patency in a child experiencing respiratory issues. Encouraging visits from older siblings may not have any therapeutic benefit and could potentially increase exposure to illness. Thus, having a bulb syringe readily available is paramount in ensuring the safety and health of a child with respiratory challenges.