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?
“We will encourage oral fluids or provide intravenous fluids as prescribed to prevent dehydration.”.
“Your child will need to drink at least 8 glasses of water a day.”.
“We will limit your child’s fluid intake to prevent overhydration.”.
“Your child should only drink clear liquids until their condition improves.”..
The Correct Answer is A
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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Related Questions
Correct Answer is B
Explanation
Choice A rationale:
RSV (Respiratory Syncytial Virus) primarily affects young children and infants, making them more vulnerable to severe complications.
Adults can also contract the virus, but it is most common and dangerous in children under one year old.
Therefore, stating that RSV is most common in adults is incorrect.
Choice B rationale:
RSV is most common in children under one year old, so your grandchildren could be at risk.
This statement is correct.
RSV is highly contagious and spreads through respiratory droplets.
Infants and young children are more prone to severe infections due to their underdeveloped immune systems.
Hence, the nurse should educate the client that their grandchildren, especially those under one year old, are at risk of contracting RSV.
Choice C rationale:
RSV does affect individuals with compromised immune systems, but it is not limited to them.
Children, especially those under one year old, are also highly susceptible to RSV infections.
Therefore, this statement is not comprehensive and accurate.
Choice D rationale:
RSV can be transmitted from person to person through respiratory secretions.
It is highly contagious, especially in crowded places like daycare centers and hospitals.
This statement is incorrect, as RSV transmission is well-documented.
Correct Answer is B
Explanation
Choice A rationale:
Keeping the child calm and comfortable is generally advisable, but in the context of RSV infection, maintaining a patent airway is crucial.
While comfort measures are essential, this choice does not directly address the mother's query regarding improving the child's breathing.
Choice B rationale:
This is The correct answer because suctioning the child's nose and mouth as needed helps in removing secretions, thus maintaining a clear airway.
RSV infection often leads to increased mucus production, which can obstruct the airways, making it difficult for the child to breathe.
By suctioning secretions, the mother can help her child breathe more comfortably, which is essential in managing RSV infection.
Choice C rationale:
Over-the-counter cold medicine is generally not recommended for infants and young children due to the risk of adverse effects.
Additionally, these medications may not specifically address the underlying cause of respiratory distress in RSV infection.
Choice D rationale:
Avoiding feeding the child until their breathing improves is not appropriate advice.
Nutrition is essential, especially for infants, and withholding feeding could lead to dehydration and other complications.
It is important to maintain adequate nutrition while managing the respiratory distress caused by RSV infection.
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