A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?
Barrel chest
Clubbing of the fingers
Vesicles on the trunk
Rhinorrhea
The Correct Answer is D
A. Barrel chest is not a typical finding in RSV. It is more commonly associated with chronic respiratory conditions, such as chronic obstructive pulmonary disease (COPD) or cystic fibrosis.
B. Clubbing of the fingers is usually seen in chronic respiratory conditions like cystic fibrosis, but it is not a typical manifestation of RSV, which is usually acute.
C. Vesicles on the trunk are characteristic of viral infections such as chickenpox, not RSV. RSV primarily affects the respiratory system, causing symptoms like wheezing and coughing.
D. Rhinorrhea, or a runny nose, is a common early symptom of RSV. RSV often starts with cold-like symptoms, including nasal congestion, rhinorrhea, and cough, before progressing to more severe respiratory distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Rice milk is a good alternative for someone with lactose intolerance as it is lactose-free and does not cause digestive discomfort.
B. Flavored yogurt may still contain lactose, and the added sugar can make it less ideal for someone with lactose intolerance. Plain yogurt, however, may be easier to digest for some individuals because it contains live cultures that help break down lactose.
C. Gradually increasing lactose-containing products is not recommended for someone with lactose intolerance. The goal is typically to avoid or limit lactose to prevent symptoms.
D. Calcium-fortified orange juice is a good source of calcium for individuals with lactose intolerance and does not need to be limited unless the individual has other dietary restrictions.
Correct Answer is A
Explanation
A. Swelling around the eyelids and mouth can indicate an allergic reaction, which could be a sign of anaphylaxis, a life-threatening condition. This requires immediate attention and intervention.
B. Crying when the injection site is touched is a common and expected response after immunization and does not suggest a serious issue.
C. A slight decrease in appetite after immunizations can be common, but it is not typically a cause for concern unless it is persistent or accompanied by other signs of illness.
D. A mild fever after immunizations is common and usually not alarming. A temperature of 100.7°F is not high enough to be a priority concern unless it is persistent or higher.
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