A client’s child has been diagnosed with RSV infection.
The client is worried about the child’s persistent cough and decreased appetite.
The nurse explains that in children younger than age 3, RSV infection can progress to bronchiolitis or pneumonia, causing more severe respiratory distress.
What statement should the nurse make to reassure the client about the management of these potential complications?

“We will monitor your child closely for any signs of respiratory distress.”.

“We will ensure your child gets plenty of rest and fluids.”.

“We will give your child medication to reduce his fever.”.

“We will provide your child with a special diet to improve his appetite.”..

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is ["A","C"]

Explanation

Choice A rationale: The child’s respiratory rate of 35 breaths per minute is slightly elevated but not uncommon for a 3-year-old with a respiratory infection like RSV. Given the child's oxygen saturation is 96%, which is within normal range, it is appropriate to continue monitoring the respiratory rate. Monitoring ensures any changes in the child’s condition can be promptly addressed without unnecessary interventions.

Choice B rationale: Administering supplemental oxygen is not necessary in this case because the child’s oxygen saturation is 96%, which is within the normal range (95-100%). Providing supplemental oxygen without clinical indication can cause potential harm and is not warranted when oxygen levels are adequate.

Choice C rationale: Reassessing the child’s oxygen saturation in one hour is a prudent action. This allows the nurse to ensure that the child’s oxygen levels remain stable and to detect any potential decline in respiratory function. It provides an ongoing assessment to ensure the child's condition does not worsen.

Choice D rationale: The pH value of 7.38 is within the normal range (7.35-7.45), indicating that the child is not experiencing acid-base imbalance. There is no immediate need to notify the healthcare provider about the pH value alone, as it does not suggest any critical condition requiring urgent intervention.

Choice E rationale: Preparing for immediate intubation due to elevated PaCO2 is not warranted. The child’s PaCO2 is 40, which is within the normal range for carbon dioxide levels (35-45 mmHg). Intubation is a severe intervention reserved for cases of respiratory failure, which is not indicated by the presented lab results.

A. “RSV can survive on hard surfaces for several days and on hands for several hours.”. B. “RSV can survive on hard surfaces for several hours and on hands for 20 minutes.”. C. “RSV cannot survive outside of the body.”. D. “RSV can only be transmitted through direct contact with an infected person.”..

Correct Answer is A

Explanation

Choice A rationale:

This is The correct answer.

RSV can survive on hard surfaces for several days and on hands for several hours.

Providing this information addresses the client's concern about the virus's survivability on surfaces.

Choice B rationale:

This statement is incorrect.

RSV can survive on hard surfaces for a longer duration than just several hours.

Providing this incorrect information could lead to misunderstandings about RSV transmission.

Choice C rationale:

This statement is incorrect.

RSV can survive on surfaces, so stating that it cannot survive outside of the body would be inaccurate and misleading.

Choice D rationale:

This statement is incorrect.

RSV can be transmitted not only through direct contact with an infected person but also through contact with contaminated surfaces and respiratory droplets.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C"]

Explanation

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?

Correct Answer is A

Explanation

A nurse is educating a client on how to prevent the spread of RSV at home.Which of the following instructions should the nurse include? (Select all that apply).

A nurse is reviewing the medical record of a child with a suspected RSV infection.Which of the following findings should alert the nurse that the child may have RSV? (Select all that apply).

A client’s child has been diagnosed with RSV.The client is concerned about the risk of dehydration for their child.The nurse reassures the client by saying which of the following?

A client’s infant has been diagnosed with RSV and the nurse is providing education on management at home.Which of the following statements by the client indicates an understanding of the teaching?

A nurse is educating a group of parents about RSV.The nurse wants to emphasize the importance of prevention, especially in the winter and early spring months.Which of the following statements would be most effective for the nurse to use?