A parent of an 8-month-old asks the nurse how it will be determined whether their child has respiratory syncytial virus (RSV). Which is the nurse's best answer?
"We will do a simple blood test."
"We will swab you child's nose and send the specimen for testing."
"We will have to sedate your child and do a CT scan of his chest."
“There is no specific test for RSV."
The Correct Answer is B
A. "We will do a simple blood test. A blood test may show signs of infection, such as elevated white blood cells, but it cannot confirm RSV. It is not a specific or reliable method for diagnosing respiratory syncytial virus in infants.
B. "We will swab your child’s nose and send the specimen for testing. Nasopharyngeal swabs are commonly used to detect RSV using antigen detection or polymerase chain reaction (PCR) testing. The procedure is non-invasive, and highly specific for diagnosing RSV.
C. "We will have to sedate your child and do a CT scan of his chest." CT scans are not used to diagnose RSV and carry unnecessary risk, especially with sedation in infants. Imaging is reserved for complicated or atypical cases and does not confirm viral etiology.
D. “There is no specific test for RSV." There are several reliable tests available for detecting RSV, including rapid antigen tests and PCR from nasal secretions. Accurate testing is important for confirming diagnosis and preventing transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A 16-year-old female high school student:While TB can affect people of any age, high school students are generally not considered a high-risk group unless they have known exposure or immunosuppression. Routine exposure in school settings is relatively low.
B. A 54-year-old businessman:This client may be at risk depending on travel history or comorbidities, but business professionals typically have better access to healthcare and housing, reducing their baseline risk compared to other populations.
C. A 54-year-old businessman:Unless other risk factors are specified (e.g., foreign travel, immunocompromise), this demographic does not represent a high-risk group for TB in an outbreak situation.
D. A 43-year-old homeless man with a history of alcoholism:This client falls into a high-risk category for TB due to poor living conditions, potential malnutrition, and compromised immunity related to alcoholism. Homelessness and substance use are well-established risk factors for tuberculosis, especially during outbreaks.
Correct Answer is C
Explanation
A. Increased protein:While protein supports immune function, high-protein diet is not the priority in the acute phase of an upper respiratory infection. The client may also have decreased appetite, sore throat, or nasal congestion, making solid food difficult to consume.
B. Soft, bland diet:This may be suitable for gastrointestinal issues or during recovery from oral or throat surgery, but it is not specifically indicated for upper respiratory infections. It also doesn't provide adequate hydration, which is a key focus during respiratory illness.
C. Clear liquid:A clear liquid diet helps keep the client hydrated, soothes throat irritation, and is easier to tolerate during acute illness. Broths, juices, teas, and electrolyte fluids help thin mucus secretions and prevent dehydration, which supports symptom management and recovery.
D. The client should be held NPO until symptoms improve:There is no reason to keep a client with an upper respiratory infection NPO unless they are experiencing vomiting or altered consciousness. Doing so would risk dehydration and slow recovery.
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