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.
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Correct Answer is B
Explanation
Choice A rationale:
This statement is incorrect.
RSV is most common in winter and early spring, not summer and fall.
Stating this misinformation would not effectively educate the parents about RSV prevention during the high-risk months.
Choice B rationale:
This is The correct answer.
RSV does occur in yearly outbreaks, especially in winter and early spring.
By emphasizing this, the nurse educates parents about the specific periods when they should take extra precautions to prevent RSV transmission.
Choice C rationale:
This statement is incorrect.
RSV is indeed seasonal, with higher incidence during the winter and early spring months.
Denying its seasonality would provide inaccurate information to the parents.
Choice D rationale:
This statement is incorrect.
RSV primarily affects infants and young children, not adults.
Providing this misinformation would not help parents understand the risks associated with RSV for their children.
Correct Answer is A
Explanation
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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