An infant with bronchiolitis is hospitalized. The causative organism is RSV. The nurse knows that a child infected with this virus requires the following isolation:

Airborne precautions

Contact Precautions and droplet precautions

Standard Precautions and droplet precautions

Positive pressure isolation and airborne isolation

Answer and Explanation

The Correct Answer is C

A. Airborne precautions: RSV is primarily spread through respiratory droplets, not airborne particles. Therefore, airborne precautions are not necessary.

B. Contact Precautions and droplet precautions: Contact precautions are not typically required for RSV. The main mode of transmission is respiratory droplets, so droplet precautions are appropriate.

C. Standard Precautions and droplet precautions: This is the correct answer. Standard precautions involve using protective barriers to prevent the spread of infection and are applied to all patients. In addition, droplet precautions are necessary for infections transmitted through respiratory droplets.

D. Positive pressure isolation and airborne isolation: Positive pressure isolation and airborne isolation are generally used for conditions where the infectious agents are transmitted through the air, such as tuberculosis. These precautions are not necessary for RSV.

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Correct Answer is C

Explanation

A. Wait for parents to obtain consent

Waiting for parents to obtain consent might not be appropriate in emergency situations where immediate intervention is necessary. Delays could impact the outcome, and the healthcare team needs to prioritize the well-being of the patient.

B. Give pain medications until consent can be obtained

Administering pain medications alone might provide temporary relief but does not address the underlying issue requiring emergency surgery. It's important to address the root cause promptly, especially if surgery is deemed necessary.

C. Have the youth give assent, and proceed with surgery

This option is appropriate when dealing with a mature minor who can understand the nature, risks, and benefits of the surgery. Assent from the youth is sought in conjunction with attempts to contact parents. It is an ethical and legal approach in emergency situations.

D. Attempt to contact another relative

Attempting to contact another relative might be a consideration, but it could introduce additional delays. If the situation is urgent and the youth can provide informed assent, proceeding with surgery while continuing efforts to contact parents is a reasonable approach.

A. Educate the child to avoid triggers. B. Administer albuterol C. Transport the child to the emergency department. D. Assess the child's peak expiratory flow and compare it to the Asthma Action plan.

Correct Answer is B

Explanation

A. Educate the child to avoid triggers.

While avoiding triggers is important for long-term asthma management, it may not address the immediate symptoms of coughing and wheezing.

B. Administer albuterol

Administering albuterol is a common and effective rescue treatment for asthma symptoms like coughing and wheezing. This can provide quick relief.

C. Transport the child to the emergency department.

This is a drastic step and may not be necessary unless the child's symptoms are severe and not responding to initial interventions.

D. Assess the child's peak expiratory flow and compare it to the Asthma Action plan.

Assessing peak expiratory flow and comparing it to the Asthma Action plan is a good practice. However, it might take time, and immediate relief is also crucial.

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An infant with bronchiolitis is hospitalized. The causative organism is RSV. The nurse knows that a child infected with this virus requires the following isolation:

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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An infant with bronchiolitis is hospitalized. The causative organism is RSV. The nurse knows that a child infected with this virus requires the following isolation: