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. A respiratory rate of 20/min is within the normal range, and while it should be monitored, it is not the priority in this case.

B. Blood pressure is a critical indicator of perfusion and can be affected by internal bleeding or other serious injuries. A low blood pressure may suggest significant blood loss and is the priority in assessing for shock.

C. A heart rate of 72/min is within the normal range for an adolescent. While it should be monitored, it is not the immediate priority.

D. Abdominal pain is a subjective measure and, while important, may not accurately reflect the severity of internal injuries. The priority is to assess the hemodynamic stability, as indicated by blood pressure.

A. "Take cromolyn sodium at the first sign of breathing difficulty." B. "Use the peak expiratory flow meter once per week." C. "Avoid triggers that cause an attack." D. "You should stop playing basketball, but you can swim instead."

Correct Answer is C

Explanation

A. Cromolyn sodium is a preventive medication for asthma, but it is not typically used at the first sign of breathing difficulty.

B. The peak expiratory flow meter should be used regularly to monitor asthma control, not just once per week.

C. Avoiding triggers that cause an asthma attack is a crucial aspect of asthma management.

Identifying and minimizing exposure to triggers help prevent exacerbations.

D. Exercise is important for overall health, and many individuals with asthma can participate in physical activities, including basketball. The nurse should encourage the child to discuss appropriate physical activities with the healthcare provider.

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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?

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