A client asks a nurse about the transmission of RSV.
The client is particularly concerned about how long the virus can survive on surfaces.
Which of the following responses from the nurse would be most accurate?

Choice A rationale:

The nurse should reassure the client by stating, “We will monitor your child closely for any signs of respiratory distress.”.

This is the appropriate response because close monitoring is crucial in children with RSV infection, especially those younger than age 3.

Respiratory distress can rapidly progress in this age group, and early detection is essential for timely intervention.

Monitoring the child's respiratory rate, oxygen saturation, and other respiratory symptoms allows healthcare providers to assess the severity of the condition and provide appropriate interventions promptly.

Choice B rationale:

While ensuring rest and fluids is generally good advice for managing various illnesses, it does not specifically address the client’s concerns about the potential complications of RSV infection, such as bronchiolitis or pneumonia leading to respiratory distress.

Choice C rationale:

Administering medication to reduce fever is not the most pertinent information in this scenario.

The primary concern for the client is the progression of RSV infection to severe respiratory distress, not fever reduction.

Choice D rationale:

Providing a special diet to improve appetite does not address the client’s concerns about the respiratory complications associated with RSV infection.

Respiratory distress is the main worry in this situation, and dietary changes are not the appropriate focus.

Choice A rationale:

Administering bronchodilators as prescribed is appropriate for managing severe respiratory distress and wheezing in children with RSV infection.

Bronchodilators help dilate the airways, making it easier for the child to breathe.

This intervention addresses one of the specific symptoms mentioned in the scenario.

Choice B rationale:

Encouraging fluid intake is important to prevent dehydration, especially in children with respiratory infections.

It helps maintain hydration status, which is essential for overall health.

While important, this choice alone does not address the severe respiratory distress symptoms mentioned in the scenario.

Choice C rationale:

Monitoring oxygen saturation levels is crucial in children with RSV infection, especially when they exhibit symptoms of severe respiratory distress such as wheezing, retractions, nasal flaring, tachypnea, and cyanosis.

Monitoring oxygen saturation helps assess the child's oxygenation status and guides interventions such as oxygen therapy.

Choice D rationale:

The correct answer is choice D, “All of these.”.

This is because all the interventions mentioned in choices A, B, and C are appropriate and necessary for managing severe respiratory distress in a toddler with RSV infection.

Administering bronchodilators addresses airway constriction and wheezing, encouraging fluid intake prevents dehydration, and monitoring oxygen saturation levels ensures appropriate oxygenation, allowing comprehensive care for the child’s condition.