Phase 1 A 10-week-old is brought to the emergency department with three days of rhinorrhea, congestion, and cough. He is presenting with mild intercostal retractions, congested cough, HR: 178, RR: 65 breaths/min, his capillary refill is >4 seconds, O2 Sat: 92% on RA, T- 99.2 F, wheezing is heard bilaterally, & mother feels the infant needs help breathing. Unable to stay latched to breast. Restless and has head bobbing. Mother at bedside. Choose the most likely options for the information missing from the statements below by choosing from the corresponding list. Based on the infant’s assessment data, the nurse determines that the infant’s abnormal vital sign findings are most likely due to _____ and _____. The priority action is oxygenation and nasal clearing. Nursing actions for nasal airway clearing include: _____, _____, and _____.