A nurse is caring for a client who has been diagnosed with RSV.
The client is concerned about the risk of transmission to their young grandchildren.
Which of the following statements should the nurse make?
“RSV is most common in adults, so your grandchildren are not at risk.”.
“RSV is most common in children under one year old, so your grandchildren could be at risk.”.
“RSV only affects individuals with compromised immune systems.”.
“RSV cannot be transmitted from person to person.”..
The Correct Answer is B
Choice A rationale:
RSV (Respiratory Syncytial Virus) primarily affects young children and infants, making them more vulnerable to severe complications.
Adults can also contract the virus, but it is most common and dangerous in children under one year old.
Therefore, stating that RSV is most common in adults is incorrect.
Choice B rationale:
RSV is most common in children under one year old, so your grandchildren could be at risk.
This statement is correct.
RSV is highly contagious and spreads through respiratory droplets.
Infants and young children are more prone to severe infections due to their underdeveloped immune systems.
Hence, the nurse should educate the client that their grandchildren, especially those under one year old, are at risk of contracting RSV.
Choice C rationale:
RSV does affect individuals with compromised immune systems, but it is not limited to them.
Children, especially those under one year old, are also highly susceptible to RSV infections.
Therefore, this statement is not comprehensive and accurate.
Choice D rationale:
RSV can be transmitted from person to person through respiratory secretions.
It is highly contagious, especially in crowded places like daycare centers and hospitals.
This statement is incorrect, as RSV transmission is well-documented.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale:
Offering frequent small feedings of breast milk or formula to maintain nutrition is an appropriate response.
Infants with RSV may experience decreased appetite and difficulty feeding due to respiratory distress.
Providing small, frequent feedings ensures that the infant receives adequate nutrition and hydration despite reduced intake during each feeding session.
Choice A rationale:
Giving the baby aspirin if they develop a fever is not recommended.
Aspirin use in children with viral infections like RSV has been associated with Reye's syndrome, a severe and potentially fatal condition.
Acetaminophen or ibuprofen, if appropriate for the child's age, can be used to manage fever and discomfort.
Choice C rationale:
Keeping the baby in a flat position to promote comfort is not advisable.
Elevating the head of the crib or bassinet slightly can help improve breathing and reduce nasal congestion in infants with respiratory infections, promoting better comfort and easier breathing.
Choice D rationale:
Stopping all feedings if the baby seems to be having trouble breathing is not The correct approach.
Adequate nutrition is crucial for the infant's overall health and recovery.
Instead, the caregiver should seek medical advice if the baby experiences significant difficulty breathing or feeding.
Adjustments in feeding techniques or temporary alternative feeding methods may be recommended under medical supervision.
Correct Answer is A
Explanation
Choice A rationale:
The nurse should educate the client about the expected course of RSV infection in infants.
RSV (Respiratory Syncytial Virus) infection can lead to complications such as bronchiolitis or pneumonia, especially in children under the age of 3.
Symptoms like wheezing and tachypnea are indicative of respiratory distress.
Educating the client about the expected duration of the symptoms is crucial.
The client needs to understand that the baby's symptoms may last for about 10 days, and this is a common timeframe for the resolution of RSV infection in infants.
This information helps manage the client's expectations and reduces anxiety.
Choice B rationale:
While fever can be a sign of infection, it is not the most pertinent symptom to monitor in this case.
The primary concern is the respiratory distress caused by bronchiolitis or pneumonia.
While fever might indicate worsening infection, it is not the most relevant information in this context.
Choice C rationale:
Over-the-counter cold medicine is generally not recommended for infants and young children due to the risk of side effects.
Moreover, these medications may not be effective in managing the specific symptoms caused by RSV infection.
Advising the client to administer such medication could be harmful and is not an appropriate response.
Choice D rationale:
While it is essential to prevent the spread of RSV infection, especially among siblings, this choice does not address the client's understanding of the infant's condition.
The primary concern here is the client's grasp of the infant's symptoms and the expected course of the illness, which is best addressed by choice A.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.