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 ["A","C"]
Explanation
Choice A rationale: The child’s respiratory rate of 35 breaths per minute is slightly elevated but not uncommon for a 3-year-old with a respiratory infection like RSV. Given the child's oxygen saturation is 96%, which is within normal range, it is appropriate to continue monitoring the respiratory rate. Monitoring ensures any changes in the child’s condition can be promptly addressed without unnecessary interventions.
Choice B rationale: Administering supplemental oxygen is not necessary in this case because the child’s oxygen saturation is 96%, which is within the normal range (95-100%). Providing supplemental oxygen without clinical indication can cause potential harm and is not warranted when oxygen levels are adequate.
Choice C rationale: Reassessing the child’s oxygen saturation in one hour is a prudent action. This allows the nurse to ensure that the child’s oxygen levels remain stable and to detect any potential decline in respiratory function. It provides an ongoing assessment to ensure the child's condition does not worsen.
Choice D rationale: The pH value of 7.38 is within the normal range (7.35-7.45), indicating that the child is not experiencing acid-base imbalance. There is no immediate need to notify the healthcare provider about the pH value alone, as it does not suggest any critical condition requiring urgent intervention.
Choice E rationale: Preparing for immediate intubation due to elevated PaCO2 is not warranted. The child’s PaCO2 is 40, which is within the normal range for carbon dioxide levels (35-45 mmHg). Intubation is a severe intervention reserved for cases of respiratory failure, which is not indicated by the presented lab results.
Correct Answer is B
Explanation
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.
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