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학습 자료 둘러보기 →The highest priority for an infant in the paroxysmal stage of pertussis is to create a low-stimulation environment. Any sudden noise, light, or movement can trigger a severe coughing spell, leading to apnea and hypoxia.
Nursing interventions include keeping the room quiet and dimly lit, clustering care to minimize disturbances, and avoiding unnecessary handling. Do not use a high Fowler's position as a primary intervention; positioning is secondary to stimulus control.
Feeding attempts can act as a trigger. Suction equipment and emergency respiratory support must be immediately available at the bedside. Antibiotic administration is important but is not the immediate action to prevent a paroxysm.
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