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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.

Answer and Explanation

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.

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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.

A. “You should try to keep your child calm and comfortable.”. B. “It would be helpful if you could suction your child’s nose and mouth as needed to remove secretions.”. C. “You might want to consider giving your child over-the-counter cold medicine.”. D. “It’s best if you avoid feeding your child until their breathing improves.”..

Correct Answer is B

Explanation

Choice A rationale:

Keeping the child calm and comfortable is generally advisable, but in the context of RSV infection, maintaining a patent airway is crucial.

While comfort measures are essential, this choice does not directly address the mother's query regarding improving the child's breathing.

Choice B rationale:

This is The correct answer because suctioning the child's nose and mouth as needed helps in removing secretions, thus maintaining a clear airway.

RSV infection often leads to increased mucus production, which can obstruct the airways, making it difficult for the child to breathe.

By suctioning secretions, the mother can help her child breathe more comfortably, which is essential in managing RSV infection.

Choice C rationale:

Over-the-counter cold medicine is generally not recommended for infants and young children due to the risk of adverse effects.

Additionally, these medications may not specifically address the underlying cause of respiratory distress in RSV infection.

Choice D rationale:

Avoiding feeding the child until their breathing improves is not appropriate advice.

Nutrition is essential, especially for infants, and withholding feeding could lead to dehydration and other complications.

It is important to maintain adequate nutrition while managing the respiratory distress caused by RSV infection.

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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).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a group of parents about RSV.The nurse wants to emphasize the importance of prevention, especially in the winter and early spring months.Which of the following statements would be most effective for the nurse to use?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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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).

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).