American Board of Family Medicine (ABFM) Practice Exam 2025 - Free ABFM Practice Questions and Study Guide

The management of a patient with bronchiolitis primarily focuses on supportive care, as this viral infection typically resolves on its own. Nasal suction to clear the upper airway is an important aspect of this support because bronchiolitis often leads to increased mucus production, which can obstruct airflow and exacerbate respiratory distress. By performing nasal suction, healthcare providers can help clear secretions, making it easier for the patient to breathe and improving overall airway function.

While other interventions may be relevant in managing certain complications or co-morbidities associated with respiratory illnesses, they do not represent standard care for uncomplicated bronchiolitis. Immediate intubation is generally not indicated unless there is severe respiratory failure or inability to maintain adequate oxygenation, which is not a routine aspect of bronchiolitis management. High-dose corticosteroids are not recommended, as they have not shown benefit in treating bronchiolitis and could even have adverse effects. Moreover, antibiotic therapy is unnecessary because bronchiolitis is primarily viral in nature, and antibiotics do not treat viral infections.

Overall, nasal suctioning is a key supportive measure that can help alleviate some of the symptoms associated with bronchiolitis, making it an essential part of the management plan.