The mother of a child with a cold asks the nurse. "How long will my child be contagious?". The nurse should reply?

Answer and Explanation

The Correct Answer is ["3"]

Children with the common cold are generally most contagious during the early stages of the illness typically within the first 2 to 3 days after symptoms appear. This is when viral shedding is at its peak, even if the child’s symptoms are mild. Hand hygiene, covering coughs, and limiting contact with others during the early days are essential to prevent spread.

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Correct Answer is B

Explanation

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.

A. administer an NSAID for discomfort B. assess the patient's 02 saturation C. check the MAR for an order for a mild sedative D. take the patient off of oral fluids

Correct Answer is B

Explanation

A. Administer an NSAID for discomfort:While fever and discomfort may contribute to restlessness, NSAIDs do not address the most urgent concern, which is potential hypoxia. Treating symptoms without first assessing respiratory function may delay appropriate intervention.

B. Assess the patient's O₂ saturation:Increasing restlessness and confusion in a pneumonia patient can be early signs of hypoxia, especially in older adults. Oxygen saturation should be evaluated immediately to determine if the patient needs supplemental oxygen or further respiratory support.

C. Check the MAR for an order for a mild sedative:Sedatives may worsen confusion and can depress respiratory drive, particularly in hypoxic patients. Administering a sedative without first ruling out hypoxia may pose significant risk.

D. Take the patient off of oral fluids:Unless there are clear signs of aspiration or decreased level of consciousness, discontinuing oral fluids is not an appropriate first step. Hydration is important in pneumonia to help thin secretions and support recovery.

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The mother of a child with a cold asks the nurse. "How long will my child be contagious?". The nurse should reply?

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Naxlex Comprehensive Predictor Exams

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Explanation

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