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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The nurse should educate the client about the expected course of RSV infection in infants.
RSV (Respiratory Syncytial Virus) infection can lead to complications such as bronchiolitis or pneumonia, especially in children under the age of 3.
Symptoms like wheezing and tachypnea are indicative of respiratory distress.
Educating the client about the expected duration of the symptoms is crucial.
The client needs to understand that the baby's symptoms may last for about 10 days, and this is a common timeframe for the resolution of RSV infection in infants.
This information helps manage the client's expectations and reduces anxiety.
Choice B rationale:
While fever can be a sign of infection, it is not the most pertinent symptom to monitor in this case.
The primary concern is the respiratory distress caused by bronchiolitis or pneumonia.
While fever might indicate worsening infection, it is not the most relevant information in this context.
Choice C rationale:
Over-the-counter cold medicine is generally not recommended for infants and young children due to the risk of side effects.
Moreover, these medications may not be effective in managing the specific symptoms caused by RSV infection.
Advising the client to administer such medication could be harmful and is not an appropriate response.
Choice D rationale:
While it is essential to prevent the spread of RSV infection, especially among siblings, this choice does not address the client's understanding of the infant's condition.
The primary concern here is the client's grasp of the infant's symptoms and the expected course of the illness, which is best addressed by choice A.
Correct Answer is A
Explanation
Choice A rationale:
RSV infects the squamous epithelial cells of your bronchioles, alveoli, and nasal passages.
This statement is accurate.
RSV primarily targets the respiratory tract, infecting the cells lining the bronchioles, alveoli, and nasal passages.
This infection can lead to symptoms ranging from mild cold-like symptoms to severe respiratory distress, particularly in young children and individuals with weakened immune systems.
Choice B rationale:
RSV does not cause the immune system to attack the body's own cells.
It primarily targets the respiratory system, leading to respiratory symptoms.
Autoimmune responses are not associated with RSV infections.
Choice C rationale:
RSV does not lead to an overproduction of red blood cells.
This statement is incorrect and not related to the pathophysiology of RSV infections.
Choice D rationale:
RSV does not cause the body to stop producing white blood cells.
White blood cells play a crucial role in the immune response, and stopping their production would severely compromise the body's ability to fight infections.
RSV primarily affects the respiratory system and does not directly impact white blood cell production.
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