A nurse is educating a client on how to prevent the spread of RSV at home.
Which of the following instructions should the nurse include? (Select all that apply).
Isolate the child from other children or adults with respiratory infections.
Use contact precautions such as gown and gloves when caring for the child.
Encourage frequent hand hygiene.
Allow siblings to share toys and utensils with the infected child.
Avoid exposure to tobacco smoke.
Correct Answer : A,B,C,E
Choice A rationale:
Isolating the child from other children or adults with respiratory infections is crucial in preventing the spread of Respiratory Syncytial Virus (RSV).
RSV is highly contagious and spreads through respiratory droplets.
By isolating the infected child, the nurse helps prevent the transmission of the virus to others.
Choice B rationale:
Using contact precautions such as gown and gloves when caring for the child is essential to prevent the spread of RSV.
Direct contact with respiratory secretions can easily lead to transmission.
Wearing protective gear like gowns and gloves creates a barrier, reducing the risk of contamination and spread.
Choice C rationale:
Encouraging frequent hand hygiene is a fundamental preventive measure.
RSV can survive on surfaces for several hours, so regular handwashing with soap and water for at least 20 seconds can help eliminate the virus from hands, reducing the risk of infection.
Choice E rationale:
Avoiding exposure to tobacco smoke is important because smoke irritates the respiratory tract, making individuals more susceptible to respiratory infections like RSV.
Secondhand smoke can also worsen symptoms in infected individuals and increase the severity of the illness.
Choice D rationale:
Allowing siblings to share toys and utensils with the infected child is not recommended.
RSV spreads through respiratory droplets and direct contact with contaminated surfaces.
Sharing toys and utensils can facilitate the transmission of the virus to other children, increasing the risk of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
This statement is incorrect.
A history of recurrent pneumonia is not a specific indicator of RSV infection.
RSV primarily affects the respiratory system, causing symptoms such as cough, wheezing, and difficulty breathing.
Choice B rationale:
This is a correct answer.
RSV symptoms typically appear 2 to 5 days after exposure.
Including this option helps identify the duration of symptoms, which is relevant to diagnosing RSV.
Choice C rationale:
This is a correct answer.
RSV commonly presents with symptoms like high fever and severe cough.
Recognizing these symptoms can help healthcare providers consider RSV as a possible diagnosis.
Choice D rationale:
This is a correct answer.
RSV can lead to bronchiolitis, which is inflammation of the small airways in the lungs.
Diagnosing a child with bronchiolitis can raise suspicion of RSV infection.
Choice E rationale:
This statement is incorrect.
A history of bacterial infections is not specific to RSV and does not provide relevant information for identifying RSV infection in this context.
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.
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