An anxious mother brings her 11-month-old daughter to an outpatient clinic in mid-January, reporting that the infant has been struggling to breathe for the past 12 hours. The illness began three days ago with a runny nose and a low-grade fever. The mother notes that the child is now making a continuous whistling sound when she breathes out. The infant was born at term and her immunizations are up to date. The mother also mentions a secondary concern: she is worried her daughter is developmentally delayed because she can only cruise along furniture and is not yet walking independently without support. Vital signs include a temperature of (), a pulse of , respirations of , and an oxygen saturation of on room air. Physical examination reveals an alert infant with clear nasal discharge. Chest auscultation reveals prolonged expiration with diffuse polyphonic wheezes and mild subcostal retractions. A rapid antigen detection test from a nasopharyngeal swab is positive for respiratory syncytial virus (RSV). Which of the following is the most appropriate next step in the management of this patient?
- Reassure the mother regarding the infant's development and provide supportive care with nasal saline and suctioningAnswer
- BReassure the mother regarding the infant's development and administer a trial of nebulized albuterol
- CRefer the infant for a developmental evaluation and administer a trial of nebulized albuterol
- DReassure the mother regarding the infant's development and prescribe a course of oral azithromycin
- ERefer the infant for a developmental evaluation and prescribe a course of oral azithromycin