A nurse is assisting with the admission of an infant who has respiratory syncytial virus (RSV), which of the following rooms should the nurse assign the infant?
A room with a toddler who has pneumonia
A private room with reverse isolation
A private room with contact/droplet precautions
A room with an infant who has croup
The Correct Answer is C
A. A room with a toddler who has pneumonia.
This option is not ideal because both RSV and pneumonia are respiratory infections that can spread to other patients. Placing these two patients together could increase the risk of cross-infection.
B. A private room with reverse isolation.
Reverse isolation is typically used to protect immunocompromised patients from acquiring infections from others. However, in the case of RSV, reverse isolation is not necessary because RSV primarily affects infants and young children who are generally not immunocompromised. Therefore, this option is not appropriate for an infant with RSV.
C. A private room with contact/droplet precautions.
This option is the most appropriate. RSV is primarily spread through respiratory droplets and direct contact with respiratory secretions. Placing the infant in a private room with contact/droplet precautions helps to minimize the risk of transmission to other patients. Healthcare workers and visitors entering the room should adhere to appropriate precautions, including wearing personal protective equipment (PPE) such as masks, gloves, and gowns.
D. A room with an infant who has croup.
Placing an infant with RSV in the same room as an infant with croup is not ideal because both conditions involve respiratory symptoms and may increase the risk of cross-infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lethargy: Lethargy can be a concerning sign in a postoperative child, especially following a procedure involving the central nervous system like VP shunt insertion. It could indicate increased intracranial pressure or other neurological complications, which require immediate attention. Therefore, this is a priority finding.
B. Urine output 70 mL in 2 hr: While monitoring urine output is important for assessing hydration and renal function, a urine output of 70 mL in 2 hours may not be immediately concerning in a 4-year-old child. However, if this pattern continues or if there are signs of dehydration, it should be addressed. It's not as urgent as assessing for neurological changes.
C. Lying flat on the unaffected side: The positioning of the child, lying flat on the unaffected side, may or may not be concerning depending on the specific instructions provided postoperatively. While positioning can affect the function of the VP shunt, it may not necessarily indicate an immediate complication.
D. Respiratory rate 20/min: A respiratory rate of 20 breaths per minute is within the normal range for a 4-year-old child. While changes in respiratory rate can indicate respiratory distress, this respiratory rate alone is not immediately concerning.
Correct Answer is C
Explanation
Correct answer: C
After a cleft‑palate repair, protecting the fresh suture line is paramount. Elbow restraintsare routinely used for the first 7–10 days postoperatively to prevent the toddler from putting fingers or objects into the mouth and disrupting the repair.
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