A nurse is providing teaching to the guardians of a child who has respiratory syncytial virus (RSV). Which of the following information should the nurse include?
Administer an antibiotic to the child for 10 days.
Cyclophosphamide can be given to decrease the duration of the infection.
Wear an N95 mask when in direct contact with the child.
RSV is transmitted by direct contact with respiratory secretions.
The Correct Answer is D
A. Administer an antibiotic to the child for 10 days: RSV is a viral infection, and antibiotics are ineffective against viruses. Antibiotics are only indicated if a secondary bacterial infection develops. Routine antibiotic therapy does not treat RSV and should not be included in teaching.
B. Cyclophosphamide can be given to decrease the duration of the infection: Cyclophosphamide is an immunosuppressive chemotherapy agent and has no role in treating RSV. Administering this medication would be inappropriate and harmful in a child with a viral respiratory infection.
C. Wear an N95 mask when in direct contact with the child: Standard precautions for RSV involve contact and droplet precautions, typically including a surgical mask, gloves, and gown. An N95 mask is not required for routine care of RSV, as transmission risk is primarily via contact with secretions and large respiratory droplets.
D. RSV is transmitted by direct contact with respiratory secretions: RSV spreads through close contact with contaminated secretions from coughing, sneezing, or touching surfaces. Teaching guardians about transmission helps prevent spread and reinforces the importance of hand hygiene and infection control measures in the home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Instruct visitors to put on a gown and gloves before entering the client's room: Contact precautions require the use of personal protective equipment, including gowns and gloves, to prevent transmission of infectious agents via direct or indirect contact. Visitors and healthcare personnel should don these items before entering the room.
B. Place a box of surgical masks outside the client's room: Masks are used for droplet or airborne precautions, not routine contact precautions. Providing masks outside the room is not necessary unless droplet or airborne infection is suspected.
C. Assign the client to a negative pressure room: Negative pressure rooms are required for airborne precautions, not contact precautions. Contact precautions focus on hand hygiene and barrier protection rather than specialized airflow.
D. Ensure all gloves in the client's room are nonlatex: While glove selection may depend on allergy considerations, using nonlatex gloves is not a requirement specifically for contact precautions. Standard or nitrile gloves are acceptable unless a latex allergy is present.
Correct Answer is ["B","C","D"]
Explanation
Rationale:
A. Thrombocytopenia: Low platelet count is not a recognized risk factor for neonatal hypoglycemia. While it may indicate other hematologic concerns, it does not directly affect the infant’s glucose regulation.
B. Hypothermia: Hypothermia increases metabolic demand and glucose consumption in newborns, making them more susceptible to hypoglycemia. Maintaining neutral thermal environment is crucial to reduce this risk.
C. Maternal diabetes: Infants of mothers with diabetes are at increased risk for hypoglycemia due to fetal hyperinsulinemia. After birth, the high insulin levels can cause a rapid drop in blood glucose.
D. Prematurity: Premature infants have limited glycogen stores, immature liver function, and impaired gluconeogenesis, all of which increase the risk of hypoglycemia. Monitoring and early feeding are essential.
E. Anemia: While anemia can affect oxygen delivery, it is not a direct risk factor for hypoglycemia in the newborn. It may complicate overall neonatal status but does not independently cause low blood glucose.
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