A nurse is reviewing the medical record of a child with a suspected RSV infection.
Which of the following findings should alert the nurse that the child may have RSV? (Select all that apply).
The child has a history of recurrent pneumonia.
The child has been experiencing symptoms for 2 to 5 days.
The child has a high fever and severe cough.
The child has been diagnosed with bronchiolitis.
The child has a history of bacterial infections.
Correct Answer : B,C,D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
This statement is incorrect.
RSV is most common in winter and early spring, not summer and fall.
Stating this misinformation would not effectively educate the parents about RSV prevention during the high-risk months.
Choice B rationale:
This is The correct answer.
RSV does occur in yearly outbreaks, especially in winter and early spring.
By emphasizing this, the nurse educates parents about the specific periods when they should take extra precautions to prevent RSV transmission.
Choice C rationale:
This statement is incorrect.
RSV is indeed seasonal, with higher incidence during the winter and early spring months.
Denying its seasonality would provide inaccurate information to the parents.
Choice D rationale:
This statement is incorrect.
RSV primarily affects infants and young children, not adults.
Providing this misinformation would not help parents understand the risks associated with RSV for their children.
Correct Answer is A
Explanation
Choice A rationale:
The nurse should reassure the client by stating, “We will monitor your child closely for any signs of respiratory distress.”.
This is the appropriate response because close monitoring is crucial in children with RSV infection, especially those younger than age 3.
Respiratory distress can rapidly progress in this age group, and early detection is essential for timely intervention.
Monitoring the child's respiratory rate, oxygen saturation, and other respiratory symptoms allows healthcare providers to assess the severity of the condition and provide appropriate interventions promptly.
Choice B rationale:
While ensuring rest and fluids is generally good advice for managing various illnesses, it does not specifically address the client’s concerns about the potential complications of RSV infection, such as bronchiolitis or pneumonia leading to respiratory distress.
Choice C rationale:
Administering medication to reduce fever is not the most pertinent information in this scenario.
The primary concern for the client is the progression of RSV infection to severe respiratory distress, not fever reduction.
Choice D rationale:
Providing a special diet to improve appetite does not address the client’s concerns about the respiratory complications associated with RSV infection.
Respiratory distress is the main worry in this situation, and dietary changes are not the appropriate focus.
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