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.”..
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is A
Explanation
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.
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