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Nursing Assessment of a child with RSV

- The nursing assessment of a child with RSV should include the following aspects :

- History: Obtain information about the onset, duration, and severity of symptoms; exposure to other children or adults with respiratory infections; risk factors such as prematurity, chronic lung disease, congenital heart disease, or immunodeficiency; and previous history of RSV infection or asthma.

- Vital signs: Monitor the respiratory rate, heart rate, blood pressure, temperature, and oxygen saturation. Note any signs of respiratory distress such as tachypnea, tachycardia, hypotension, fever, or hypoxia.

- Respiratory system: Auscultate the lungs for wheezes, crackles, or diminished breath sounds. Observe the chest wall for retractions, flaring, or asymmetry. Assess the nasal passages for congestion, discharge, or bleeding. Evaluate the cough for frequency, quality, and productivity.

- Cardiovascular system: Assess the heart sounds for murmurs, gallops, or extra sounds. Palpate the peripheral pulses for rate, rhythm, and strength. Check the capillary refill time for adequacy of perfusion. Inspect the skin for color, temperature, and moisture.

- Gastrointestinal system: Assess the abdomen for distension, tenderness, or masses. Monitor the intake and output for hydration status. Weigh the child daily for fluid balance. Observe the stools for color, consistency, and frequency.

- Neurological system: Assess the level of consciousness, orientation, and behavior. Evaluate the cranial nerve functions for symmetry and sensation. Test the motor and sensory functions for strength and coordination. Check the reflexes for normal response.

- Psychosocial system: Assess the child’s coping skills, emotional state, and developmental level. Provide support and education to the child and family. Encourage parental involvement in care.

Questions on Nursing Assessment of a child with RSV

Correct Answer is B

Explanation

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.

Correct Answer is A

Explanation

This statement is incorrect. RSV can be transmitted not only through direct contact with an infected person but also through contact with contaminated surfaces and respiratory droplets.

Correct Answer is ["B","C","D"]

Explanation

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.

Correct Answer is B

Explanation

RSV can be transmitted from person to person through respiratory secretions. It is highly contagious, especially in crowded places like daycare centers and hospitals. This statement is incorrect, as RSV transmission is well-documented.

Correct Answer is A

Explanation

RSV does not cause the body to stop producing white blood cells. White blood cells play a crucial role in the immune response, and stopping their production would severely compromise the body's ability to fight infections. RSV primarily affects the respiratory system and does not directly impact white blood cell production.

Correct Answer is A

Explanation

Developing a high fever is a general symptom of various infections, including RSV. While fever is a concern, the scenario specifically mentions symptoms related to the respiratory system, making difficulty breathing a more relevant and specific warning sign for the mother to be aware of.

Correct Answer is A

Explanation

Providing a special diet to improve appetite does not address the client’s concerns about the respiratory complications associated with RSV infection. Respiratory distress is the main worry in this situation, and dietary changes are not the appropriate focus.

<p>Preparing for immediate intubation due to elevated PaCO2 is not warranted. The child&rsquo;s PaCO2 is 40, which is within the normal range for carbon dioxide levels (35-45 mmHg). Intubation is a severe intervention reserved for cases of respiratory failure, which is not indicated by the presented

The correct answer is choice D, “All of these.”. This is because all the interventions mentioned in choices A, B, and C are appropriate and necessary for managing severe respiratory distress in a toddler with RSV infection. Administering bronchodilators addresses airway constriction and wheezing

While it is essential to prevent the spread of RSV infection, especially among siblings, this choice does not address the client's understanding of the infant's condition. The primary concern here is the client's grasp of the infant's symptoms and the expected course of the illness, which is best ad

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 cause

Restricting the child to clear liquids only is not appropriate, especially in the context of RSV infection. While clear liquids are essential, they may not provide adequate nutrition. Maintaining appropriate oral intake, which includes a variety of fluids and, if possible, nutritionally balanced foo

Avoiding exposure to tobacco smoke is important because smoke irritates the respiratory tract, making individuals more susceptible to respiratory infections like RSV. Secondhand smoke can also worsen symptoms in infected individuals and increase the severity of the illness.

Stopping all feedings if the baby seems to be having trouble breathing is not The correct approach. Adequate nutrition is crucial for the infant's overall health and recovery. Instead, the caregiver should seek medical advice if the baby experiences significant difficulty breathing or feeding. Adjus
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