Bronchiolitis & RSV

the nurse in the ER is caring for a toddler with dx of bronchiolitis. which sign/symptom should this nurse anticipate during his assessment. select all that apply a. heart rate of 157 b. temp of 101.8 c. subcostal retractions d. poor feeding e. diarrhea

C, D

a student asks the nurse if an precautions are needed when caring for a 2mo with RSV to prevent the spead of infection. what is the nurses best reponse a. gloves only b. gown, gloves and mask c. standard precautions only d. proper hand washing between clients

B

which child would be at increased risk for RSV a. 2mo child managed at home b. 2 mo child with bronchopulmonary dysplasia c. 3mo child requiring low flow oxygen d. a 2 year old child

B

a nurse is teachign parents of an infant with bronchiolitis how to bulb suction. which statement should be included a. feed the infant 20 minutes prior to stuctioning b. place the infant in a head down position c. suciton as often as the infant seems to need it d. repeat the suctioning process several times until most of the mucus is removed

D

in preparation for discharge, the nurse teaches the mother of an infant diagnosed with bronchiolitis about the condition and its treatment. which statement by the mother indicates successful teaching a.i need to be sure to take my childs temperature every day b. i hope i do not get a cold from my child c. next time my child gets a cold i need to listen to his chest d. i need to wash my hands more often

D

the nurse is preparing a child/family for a nasopharyngeal was to obtain a specimen. which statement, by the nurse would be most accurate in explaining the procuedure. select all that apply a. the child will need to be held still for this procedure b. nasal secretions are aspriated after 3ml of saline is instilled in each nostril c. nasal secretions are suctioned out of each nostril d. the procedure will take only a few minutes e. the child will not be able to eat until the gag reflex is assessed

B (only way to detect RSV)

How will a child with respiratory distress and stridor and who is diagnosed with RSV be treated a. IV antibiotics b. IV steroids c. Nebulized racemic epinephrine d. Alternating doses of Tylenol and Motrin

C (mucosal vasoconstriction)

Which child is at highest risk for requiring hospitalization to treat RSV a. a two-month-old born at 32 weeks b. A 16th month old with a tracheostomy c. A three-year-old with a congenital heart defect d. A four-year-old who is born at 30 weeks

A

Which statement indicates the parents need further teaching on how to prevent his other children from contracting RSV a. I should make sure that both my children receive synagis injections for the mermaid her of this year b. I should be sure to keep my infected child away from his brother until he has recovered c. I should insist that all people who come in contact with my children thoroughly wash their hands before playing with them d. I should insist that anyone with a respiratory illness avoid contact with my children until well

A

a nurse is explaning bronchioltis to the parents of an infant admitted with the condition. which is the best information for the nurse to provide a. it is a seasonal viral illness that causes inflammation and obstruction of the small airways b. causes decreased mucus secretion which causes air trapping and lobular collapse c. affects premature infants because they lack surfactant d. caused by a bacteria that causes epithelial necrosis and damage to the cilia

A

the nurse is planning care for an infant with bronchiolitis who requires monitoring for dehydration. what is the most important intervention for the nurse to provide a. daily weight b. blood levels every 4 hours c. urinalysis every 8 hours d. weighing each diaper

A

the nurse is teaching the parents of a 7mo with RSV. which statement by the parents would best indicate understanding of the infection..RSV bronchiolitis a. usually just cause a bad cold in people b. occur mostly in the fall c. usually only affect preterm infants d. are spread primarily through indirect contact

A

An infant is being treated at home for bronchiolitis. what should the nurse teach the parent about home care. select all that apply a. offering small amounts of fluids frequently b. allowing the infant to sleep prone c. calling the clinic if the infant vomits d. writing down how much the infant drinks e. performing chest physiotherapy every 4 hours f. watching for difficulty breathing

A, F

a teaching care plan to prevent the transmission of RSV should include what info. select all that apply a. the virus can be spread by direct contact b. the virus can be spread by indirect contact c. palivizumab is recommended to prevent RSV for all toddlers in day care d. the virus is typically contagious for 3 weeks e. older children seldom spread RSV f. frequent handwashing helps reduce the spread of RSV

A,B, F

A parent asked the nurse how it will be determined if the child has RSV which is the nurses best response a. We will do a simple blood test to determine whether your child has RSV b. There is no specific test for RSV the diagnosis is made based on the child's symptoms c. We will swap your child knows and send that specimen for testing d. We will have to send a viral culture to an outside lab for testing

C

And 11-month-old was born at 28 weeks gestation and require two weeks of ventilation the baby is currently well and is being seen in the clinic the position recommends that the baby receive preventative therapy for RSVP for the next five months since winter is approaching which medication will be ordered a. RSV immunoglobulin b. ribavirin c. palivizumab (synagis) d. pneumococcal vaccine

C

the nurse is planning care for an infant with bronchiolitis. what is the nurses priority intervention for this child a. position the infant with the head elevated b. monitor intake and output c. assess respiratory status frequently d. incorporate parents into the childs care

C

the nurse is teaching home care to the parents of a child with bronchiolitis. what is the most important information for the nurse to provide a. place the child in a prone position for comfort b. use warm mist to replace insensible fluid loss c. recognize the signs of increasing respiratory distress d. engage the child in many activities to prevent developmental delay

C

a charge nurse is assinging pateints on a pediatric unit. the nurse should most avoid assigning the same nurse to care for a 2yo with RSV and a. an 18mo with RSV b. a 9yo 8 hours postappendectomy c. a 1yo with a heart defect d. a 6yo with sickle cell crisis

C (2yo are most at risk for RSV, pairing with other RSV children is idea, older children are less likely to get it)

the nurse is caring for a 7mo with bronchiolitis. which symptoms would the nurse expect to find during his assessment. select all that apply a. wheezing b. rr of 46 c. HR of 128 d. RR of 68 e. hr of 82 f. poor feeding

a,c,d,f

what area of the chest would the nurse monitor for suprasternal retractions in an infant diagnosed with bronchiolitis

suprasternal retractions