A nurse is reviewing the laboratory test results for a 3-year-old child who has been diagnosed with RSV infection.
The nurse notes that the child’s respiratory rate is 35 breaths per minute, oxygen saturation is 96%, pH is 7.38, and PaCO2 is 40.
Which of the following actions should the nurse take based on these results? (Select all that apply).

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.

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.