Question

a 6 - month - old female does not respond to you when you stimulate her. you observe cyanosis as well as supraclavicular and sternal retractions with a respiratory rate of 38. does this patient need oxygen? if so what type? no yes, nasal canula at 2 - 6 lpm yes, non rebreather at 15 lpm yes, cpap yes, bvm at 15 lpm

Explanation:

The patient shows cyanosis (a sign of hypoxia - low oxygen in the body), and there are respiratory retractions (supraclavicular and sternal). These are signs of respiratory distress. A non - rebreather mask at 15 lpm (liters per minute) is used in cases of severe respiratory distress or hypoxia. A nasal cannula (2 - 6 lpm) is for milder oxygen needs. CPAP (Continuous Positive Airway Pressure) is for obstructive sleep apnea or some cases of respiratory failure where there is upper airway obstruction but not typically the first choice for a 6 - month - old with the described acute distress. BVM (Bag - Valve - Mask) is used when positive pressure ventilation is needed (e.g., if the patient is not breathing adequately, but the question does not mention apnea). Since the patient has signs of hypoxia (cyanosis) and respiratory distress (retractions), oxygen is needed, and the non - rebreather (delivers high - flow oxygen, up to 95 - 100% FiO₂) is appropriate.

Answer:

Yes, non rebreather at 15 lpm