Revalida Enfermería UChile Practice Questions - Examen De Reválida De Título De Enfermera(o) (Universidad De Chile) Exam

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A 4-month-old infant presents with tachypnea (respiratory rate 62 breaths/min), moderate intercostal and subcostal retractions, nasal flaring, and diffuse bilateral expiratory wheezing and fine crackles on auscultation during the winter season. Room air SpO2 is 91%. According to the Chilean MINSAL Clinical Guideline for Acute Lower Respiratory Infections (IRA), what is the clinical score (Tal Score) used for, and what is the primary nursing intervention?

Tal Score assesses clinical severity of acute bronchiolitis/bronchial obstruction; administer supplemental humidified oxygen via nasal cannula to maintain SpO2 >=93%, maintain semi-Fowler position, and ensure gentle nasal aspiration Tal score assesses croup; administer high-dose intravenous aminophylline and sedatives Perform immediate chest physical therapy (vigorous clapping and postural drainage) during the acute bronchospasm Administer oral aspirin and restrict fluid intake to 30% maintenance

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