A 6-month-old child presented to the Emergency Department with tachypnea, marked retractions, listlessness, and poor eating and drinking. Nasal swab was positive for respiratory syncytial virus (RSV) and she was just admitted to the hospital with the diagnosis of RSV bronchiolitis. What nursing interventions would be most appropriate, assuming you have a physician's order?
Administer Synagis® immediately and encourage fluids by mouth.
Administer antiviral medication, limit fluids and give antitussives.
Encourage fluids by mouth, IV antibiotics, and oxygen mist therapy.
Provide oxygen mist therapy, administer IV fluids, and hand washing.
The Correct Answer is D
Choice A reason: This is not the correct answer because Synagis® is a monoclonal antibody that is given as a prophylaxis to prevent severe RSV infection in high-risk infants. It is not effective as a treatment for RSV bronchiolitis.
Choice B reason: This is not the correct answer because antiviral medication is not routinely recommended for RSV bronchiolitis, as it has not been shown to improve outcomes. Limiting fluids and giving antitussives may also be harmful, as they can cause dehydration and suppress the cough reflex.
Choice C reason: This is not the correct answer because IV antibiotics are not indicated for RSV bronchiolitis, which is a viral infection. Antibiotics may increase the risk of antibiotic resistance and adverse effects.
Choice D reason: This is the correct answer because oxygen mist therapy can help humidify the air and relieve the respiratory distress. IV fluids can prevent dehydration and maintain electrolyte balance. Hand washing can prevent the spread of RSV infection to other patients and staff.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is not appropriate because it implies that the child's current diet is inadequate or incompatible with diabetes management. It may also offend the parents and the child by disregarding their cultural and religious preferences.
Choice B reason: This is appropriate because it shows respect and sensitivity for the child's and the parents' dietary choices. It also helps the nurse to tailor the dietary education and advice according to the child's needs and preferences.
Choice C reason: This is not appropriate because it contradicts the child's and the parents' beliefs and practices. Hindus consider fruit to be sacred and offer it to their gods. They do not eat fruit after it has been offered, as it is considered prasad, or blessed food.
Choice D reason: This is not appropriate because it assumes that meat is the only or the best source of protein. It may also violate the child's and the parents' ethical or religious values, as some Hindus avoid meat or certain types of meat.
Correct Answer is D
Explanation
Choice A reason: This is not a good intervention because it disregards the parent's and the child's religious beliefs and values. It may also imply that the nurse knows better than the parent what is best for the child.
Choice B reason: This is not a necessary intervention because it does not address the immediate issue of the child's nutrition. It may also suggest that the nurse thinks the parent needs spiritual guidance or counseling.
Choice C reason: This is not a respectful intervention because it violates the parent's and the child's right to follow their dietary rules. It may also cause the parent and the child to feel guilty or conflicted.
Choice D reason: This is the best intervention because it honors the parent's and the child's preferences and practices. It also ensures that the child receives adequate and appropriate nutrition.
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