RSV
a,b,d
The nurse is preparing to discharge a frail infant from the nursery to home in October. Which nursing instructions are priority for the parents? (Select all that apply.) a Prevent anyone with a cold from coming in contact with the infant. b Use good handwashing techniques before handling the infant. c Administer Tylenol if the child develops a runny nose. d Have the child vaccinated with palivizumab monthly. e Suction the infant as needed.
c
The nurse wears gloves when examining a child with respiratory syncytial virus (RSV) infection. After removing the gloves, what should the nurse do next? a Remind the parents to wear gloves. b Inspect the gloves for holes or fraying. c Wash hands with soap and water. Discard the gloves in the laundry basket. d
hours
Respiratory syncytial virus (RSV) is the cause of bronchiolitis in most cases. RSV can live for several _________ on nonporous surfaces and can be transferred by the hands.
c
A child in the early stages of impaired gas exchange often experiences which diagnosis? a Risk for Delayed Development related to hypoxia b Risk for Injury related to fatigue and dehydration c Anxiety related to hypoxia d Fatigue related to air trapping
c
A client with hypertension asks the nurse what can be done to relieve the symptoms associated with respiratory syncytial virus (RSV). The nurse recommends which of the following? a Use an over-the-counter decongestant such as pseudoephedrine. b Take 1000 mg of vitamin C and use zinc lozenges on a regular basis. c Use an over-the-counter nasal spray for no more than 3 days to relieve congestion. d Ask the physician for antibiotics.
a
A premature infant in the hospital with respiratory syncytial virus (RSV) has a nursing diagnosis of Ineffective Airway Clearance. Which clinical manifestation is appropriate for this diagnosis? a The infant does not have the energy to cough effectively. b Premature infants do not have a cough reflex. c The disease produces minimal secretions. d The infant cannot eat when sick.
a
The nurse is caring for a 75-year-old client with respiratory syncytial virus (RSV).The nurse monitors this client closely for which of the following? a Pneumonitis b Malnutrition c Dehydration d Skin breakdown
2
The nurse is caring for an infant with bronchiolitis, and diagnostic tests have confirmed respiratory syncytial virus (RSV). On the basis of this finding, which is the MOST APPROPRIATE nursing action? 1. Initiate strict enteric precautions. 2. Move the infant to a room with another child with RSV. 3. Leave the infant in the present room because RSV is not contagious. 4. Inform the staff that they must wear a mask, gloves, and a gown when caring for the child.
1,6
The nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by respiratory syncytial virus (RSV). Which interventions should the nurse include in the plan of care? SELECT ALL THAT APPLY. 1. Place the infant in a private room. 2. Ensure that the infant's head is in a flexed position. 3. Wear mask at all times when in contact with the infant. 4. Place the infant in a tent that delivers warm humidified air. 5. Position the infant on the side, with the head lower than the chest. 6. Ensure that nurses caring for the infant with RSV do not care for other high-risk children.
a
The parents of an infant with bronchiolitis ask the nurse why their baby's room has a sign on the door that says "Contact Precautions" and why all the nurses wear gowns and gloves when they hold him. What is the most appropriate response? a "The virus that usually causes bronchiolitis can spread to other babies if extra precautions are not taken." b "Hospital guidelines require all nurses who come in contact with babies infected with RSV to wear gowns and gloves." c "The nurses wear protective gear in order to protect themselves from catching respiratory infections ." d "Your baby is very ill and should be touched or held only when necessary."
c
Which is a priority nursing intervention for a child with bronchiolitis? a Encouraging oral fluids. b Keeping the child well stimulated. c Maintaining strict intake and output. d Encouraging visitors.
