The mother of an infant who was diagnosed with respiratory syncytial virus (RSV) yesterday calls the clinic to inquire if it will be all right to take her infant to the first birthday party of a friend's child the following day. Which response should the practical nurse (PN) provide this mother?
The child will no longer be contagious, no need to take any further precautions.
Make sure there are no children under the age of 6 months around the infected child.
The child can be around other children but should wear a mask at all times.
Do not expose other children as the virus is very contagious even without direct oral contact.
The Correct Answer is D
A. The child will no longer be contagious, no need to take any further precautions:
RSV remains contagious for days to weeks after symptoms begin.
B. Make sure there are no children under the age of 6 months around the infected child:
Although infants are more vulnerable, all children are at risk - restriction should apply to everyone.
C. The child can be around other children but should wear a mask at all times:
Masks are not fully effective in preventing RSV spread, especially in very young children.
D. Do not expose other children as the virus is very contagious even without direct oral contact:
RSV spreads through respiratory droplets and contaminated surfaces.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Heart rate reduced to 100 beats/minute:
A HR of 100 is within normal limits for an adult and not concerning here.
B. Bilateral pupils equal and reactive to light:
Normal finding, no immediate concern.
C. Pain decreased to a 2 on a 0 to 10 point pain scale:
Indicates the medication was effective for pain relief.
D. Respiratory rate of 6 breaths/minute:
Dangerously low; indicates opioid-induced respiratory depression requiring immediate action.
Correct Answer is A
Explanation
A. Use normal saline to rinse the client's mouth: Normal saline is safe, non-irritating, and helps maintain oral mucosa integrity.
B. Avoid contact with the roof of the mouth: Unnecessary; oral care includes cleaning all oral surfaces gently.
C. Lower the head of the bed to 30 degrees: This increases aspiration risk; the head should be elevated or the client positioned side-lying.
D. Don sterile gloves prior to performing oral care: Clean gloves are sufficient; sterile gloves are not required.
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