A client with RSV asks a nurse about the pathophysiology of their infection.
Which of the following explanations should the nurse provide?

Choice A rationale:

Isolating the child from other children or adults with respiratory infections is crucial in preventing the spread of Respiratory Syncytial Virus (RSV).

RSV is highly contagious and spreads through respiratory droplets.

By isolating the infected child, the nurse helps prevent the transmission of the virus to others.

Choice B rationale:

Using contact precautions such as gown and gloves when caring for the child is essential to prevent the spread of RSV.

Direct contact with respiratory secretions can easily lead to transmission.

Wearing protective gear like gowns and gloves creates a barrier, reducing the risk of contamination and spread.

Choice C rationale:

Encouraging frequent hand hygiene is a fundamental preventive measure.

RSV can survive on surfaces for several hours, so regular handwashing with soap and water for at least 20 seconds can help eliminate the virus from hands, reducing the risk of infection.

Choice E rationale:

Avoiding exposure to tobacco smoke is important because smoke irritates the respiratory tract, making individuals more susceptible to respiratory infections like RSV.

Secondhand smoke can also worsen symptoms in infected individuals and increase the severity of the illness.

Choice D rationale:

Allowing siblings to share toys and utensils with the infected child is not recommended.

RSV spreads through respiratory droplets and direct contact with contaminated surfaces.

Sharing toys and utensils can facilitate the transmission of the virus to other children, increasing the risk of infection.

Choice A rationale:

This is The correct answer because it addresses the client's concern about dehydration.

Infants and young children with RSV infection are at risk of dehydration due to increased respiratory effort, fever, and decreased oral intake.

Encouraging oral fluids or providing intravenous fluids as prescribed helps prevent dehydration, ensuring the child remains hydrated during the illness.

Choice B rationale:

While adequate fluid intake is essential, stating a specific quantity like 8 glasses of water a day is not appropriate for infants and young children.

The fluid requirements vary based on the child's age, weight, and overall health condition.

Providing a specific quantity without proper assessment can be misleading and may not meet the child's individual needs.

Choice C rationale:

Limiting the child's fluid intake to prevent overhydration is not the primary concern in this context.

Dehydration due to increased respiratory effort and decreased oral intake is a more significant concern.

Adequate hydration is crucial in preventing complications associated with dehydration.

Choice D rationale:

Restricting the child to clear liquids only is not appropriate, especially in the context of RSV infection.

While clear liquids are essential, they may not provide adequate nutrition.

Maintaining appropriate oral intake, which includes a variety of fluids and, if possible, nutritionally balanced foods, is important for the child's overall well-being during the illness.