RSV HESI Case Study with Answers 2026

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RSV HESI Case Study with Answers 2025 HESI case study for pediatrics, Respiratory Syncytial Virus (RSV) Bronchiolitis HESI CASE STUDY: Meet the Client: Emma Hold Six-week-old Emma Hold has a 2-day history of cold symptoms. The infant becomes limp and cyanotic and is not breathing. The mother revives the infant by performing mouth-to-mouth resuscitation. An ambulance arrives, and the emergency medical technician (EMT) stabilizes Emma before transporting her to the emergency department (ED). This information is reported to the nurse by the EMT upon the infant's arrival to the ED with her mother, Susan.

What action should the nurse take next?

Continue respiratory assessment.
The nurse should complete the respiratory assessment, as this will provide important baseline information for the healthcare provider (HCP).

Which techniques should the nurse use to assess for respiratory distress?

Place a pulse oximeter on a big toe of the baby's foot.
The nurse should use a pulse oximeter to measure the infant's oxygen saturation level. A decreased oxygen saturation level is a sign of respiratory compromise. The foot is the preferred site for a pulse oximeter because infants are apt to scratch themselves with the probe if it is placed on the hand. Fingers are not used because they are too small to support the probe. The infant's foot should be kept warm, with a sock if necessary, to ensure accurate measurement.

Inspect the chest wall for symmetry and retractions.
Respiratory distress can be seen as an asymmetrical chest wall expansion, intercostal retractions, and nasal flaring.

Count the infant's pulse and respiratory rates.
Tachycardia and tachypnea can both be signs of respiratory distress.

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