A nurse is assisting an infant who has respiratory syncytial virus.
For which of the following findings should the nurse intervene?
Brisk capillary refill
Tachypnea
Rhinorrhea
Coughing
The Correct Answer is B
Choice A rationale
Brisk capillary refill is a normal finding and does not require intervention.
Choice B rationale
Tachypnea, or rapid breathing, is a common symptom of respiratory syncytial virus (RSV) infection in infants. It can indicate that the infant is having difficulty breathing and needs immediate intervention.
Choice C rationale
Rhinorrhea, or a runny nose, is a common symptom of RSV infection in infants. While it can be uncomfortable for the infant, it does not typically require immediate intervention.
Choice D rationale
Coughing is a common symptom of RSV infection in infants. While it can be uncomfortable for the infant, it does not typically require immediate intervention.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
The human papillomavirus (HPV) vaccine is not typically given at 12 months of age. It is usually administered to adolescents.
Choice B rationale
The inactivated polio virus vaccine is not typically given at 12 months of age. It is usually administered earlier in infancy.
Choice C rationale
The hepatitis B vaccine is not typically given at 12 months of age. It is usually administered shortly after birth and in the first few months of life.
Choice D rationale
The varicella vaccine, which protects against chickenpox, is typically given at 12 months of age.
Correct Answer is B
Explanation
Choice A rationale
Applying baby powder under the harness straps daily is not recommended. Baby powder can cake up and cause skin irritation.
Choice B rationale
Placing the diaper under the straps of the harness is correct. This helps to keep the harness clean and dry.
Choice C rationale
Adjusting the harness straps daily is not recommended unless specifically instructed by the doctor. Incorrect adjustments can compromise the effectiveness of the treatment.
Choice D rationale
Massaging lotion into the skin under the harness twice per day is not recommended. Lotion can make the skin slippery and cause the harness to move out of place.
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