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.
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Related Questions
Correct Answer is D
Explanation
A. Positioning the child on their back is not recommended, as it could increase the risk of aspiration. It's safer to hold the child in an upright position or slightly reclined, supporting the head and neck.
B. Adding medication to formula or food is not advisable, as the child may not ingest the full dose, and it might not be effective if the child doesn't finish the bottle.
C. While cold may help with taste, it could be difficult for a 1-year-old to handle ice, and it may not effectively improve medication administration.
D. Placing the medication along the side of the child's tongue helps prevent the gag reflex and encourages the child to swallow it more easily, ensuring proper administration.
Correct Answer is B
Explanation
A. The MMR vaccine contains live attenuated viruses, which can pose a risk to severely immunocompromised children. This vaccine should not be administered to immunocompromised children unless otherwise advised by a specialist.
B. The DTaP vaccine is an inactivated vaccine and is safe to administer to immunocompromised children. It does not contain live viruses and is recommended for children in this age group.
C. The varicella vaccine is a live attenuated vaccine, which can be risky for immunocompromised children. The nurse should avoid administering this vaccine unless explicitly directed by the healthcare provider.
D. The LAIV is a live attenuated vaccine, which is not recommended for children who are severely immunocompromised. Alternative inactivated flu vaccines should be used.
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