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.
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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Related Questions
Correct Answer is D
Explanation
A. Discouraging visits from friends may contribute to social isolation, which can negatively
impact the child's psychosocial well-being. Encouraging social interactions, when appropriate, is generally beneficial.
B. While play therapy may be useful in certain situations, it may not be the primary focus for a 10-year-old child. Encouraging age-appropriate activities and interactions, including school work, is important.
C. Varying the child's schedule each day might introduce unnecessary stress and disrupt the sense of routine and stability, which is essential for psychosocial well-being.
D. Encouraging the client to complete school work is aligned with Erikson's psychosocial stage of industry vs. inferiority. This stage emphasizes the importance of developing competence and skills, including academic achievements, during the school-age years. Supporting the child's educational needs is crucial for positive psychosocial development.
Correct Answer is B
Explanation
A. Projectile vomiting in an infant could be indicative of a serious condition, and advising on burping may not be sufficient. A prompt assessment by a healthcare provider is needed.
B. Projectile vomiting can be a concerning sign and may be associated with conditions such as pyloric stenosis. Bringing the baby to the clinic for evaluation is the appropriate action.
C. Switching formula may not address the underlying cause of projectile vomiting, and it is crucial to determine the cause through a thorough examination.
D. While oral rehydration solution may be used for dehydration, the priority is to assess the infant in person to determine the cause of the vomiting.
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