A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?

Allow the toddler to play in the common room.

Keep thermometer in the toddler's room.

Initiate airborne precautions.

Place the toddler in a room that has negative air pressure.

Answer and Explanation

The Correct Answer is B

A. RSV is primarily spread through respiratory droplets, so allowing the toddler to play in the common room may expose other children to the virus. The child should be placed in a private room.

B. Keeping the thermometer in the toddler's room allows for monitoring of the child's

temperature without the need to bring the thermometer to different areas, helping to prevent the potential spread of the virus.

C. Airborne precautions are not necessary for RSV. Standard precautions, including contact and droplet precautions, are sufficient.

D. Negative air pressure rooms are typically used for airborne infections such as tuberculosis, not for respiratory syncytial virus.

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Correct Answer is B

Explanation

A. Blood cultures are important in the diagnostic workup for bacterial meningitis, but the priority is to obtain cerebrospinal fluid through a lumbar puncture for definitive diagnosis.

B. A lumbar puncture is a priority in suspected bacterial meningitis to assess the cerebrospinal fluid for signs of infection and to guide appropriate treatment.

C. Administering an intravenous antibiotic is an important intervention, but the lumbar puncture takes precedence for confirming the diagnosis.

D. Placing the child in isolation is important for preventing the potential spread of infection, but the immediate diagnostic priority is the lumbar puncture.

A. Place the child on droplet precautions. B. Assist with obtaining an x-ray of the child's neck. C. Administer 0.9% sodium chloride IV solution. D. Initiate IV antibiotics

Correct Answer is A

Explanation

A. Placing the child on droplet precautions is the first priority to prevent the potential spread of infection, as epiglottitis is often caused by bacterial infection.

B. While obtaining an x-ray may be part of the diagnostic process, the immediate concern is to prevent the spread of infection.

C. Administering IV fluids may be necessary, but placing the child on droplet precautions takes precedence.

D. Initiating IV antibiotics is an essential treatment for epiglottitis, but placing the child on droplet precautions is the initial step to prevent transmission to healthcare providers and other patients.

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A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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