A nurse is caring for a 2-year-old child who has been admitted with a suspected RSV infection.
The child’s mother reports that the child has had a runny nose, fever, and decreased appetite for the past two days.
The nurse notes that the child appears irritable and has a persistent cough.
Based on these symptoms, the nurse suspects that the child’s illness may progress to bronchiolitis or pneumonia, which could cause more severe respiratory distress.
What statement should the nurse make to educate the mother about the potential progression of RSV infection?
“Your child may start to experience difficulty breathing.”.
“Your child may lose his appetite completely.”.
“Your child may start to feel drowsy all the time.”.
“Your child may develop a high fever.”..
The Correct Answer is A
Choice A rationale:
Your child may start to experience difficulty breathing.
This statement is accurate and crucial for the mother to be aware of.
RSV infections can progress to bronchiolitis or pneumonia, leading to more severe respiratory distress.
Difficulty breathing is a common symptom in these advanced stages of the infection, indicating the need for immediate medical attention.
Choice B rationale:
While a decreased appetite is a symptom mentioned in the scenario, it does not reflect the potential progression of RSV infection.
The focus should be on respiratory symptoms, which can indicate worsening conditions.
Choice C rationale:
Drowsiness is not a typical symptom of RSV progression.
Respiratory distress, such as difficulty breathing, is a more concerning sign and requires prompt medical evaluation.
Choice D rationale:
Developing a high fever is a general symptom of various infections, including RSV.
While fever is a concern, the scenario specifically mentions symptoms related to the respiratory system, making difficulty breathing a more relevant and specific warning sign for the mother to be aware of.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Keeping the child calm and comfortable is generally advisable, but in the context of RSV infection, maintaining a patent airway is crucial.
While comfort measures are essential, this choice does not directly address the mother's query regarding improving the child's breathing.
Choice B rationale:
This is The correct answer because suctioning the child's nose and mouth as needed helps in removing secretions, thus maintaining a clear airway.
RSV infection often leads to increased mucus production, which can obstruct the airways, making it difficult for the child to breathe.
By suctioning secretions, the mother can help her child breathe more comfortably, which is essential in managing RSV infection.
Choice C rationale:
Over-the-counter cold medicine is generally not recommended for infants and young children due to the risk of adverse effects.
Additionally, these medications may not specifically address the underlying cause of respiratory distress in RSV infection.
Choice D rationale:
Avoiding feeding the child until their breathing improves is not appropriate advice.
Nutrition is essential, especially for infants, and withholding feeding could lead to dehydration and other complications.
It is important to maintain adequate nutrition while managing the respiratory distress caused by RSV infection.
Correct Answer is A
Explanation
Choice A rationale:
This is The correct answer.
RSV can survive on hard surfaces for several days and on hands for several hours.
Providing this information addresses the client's concern about the virus's survivability on surfaces.
Choice B rationale:
This statement is incorrect.
RSV can survive on hard surfaces for a longer duration than just several hours.
Providing this incorrect information could lead to misunderstandings about RSV transmission.
Choice C rationale:
This statement is incorrect.
RSV can survive on surfaces, so stating that it cannot survive outside of the body would be inaccurate and misleading.
Choice D rationale:
This statement is incorrect.
RSV can be transmitted not only through direct contact with an infected person but also through contact with contaminated surfaces and respiratory droplets.
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