A client’s child has been diagnosed with RSV.
The client is concerned about the risk of dehydration for their child.
The nurse reassures the client by saying which of the following?
“We will encourage oral fluids or provide intravenous fluids as prescribed to prevent dehydration.”.
“Your child will need to drink at least 8 glasses of water a day.”.
“We will limit your child’s fluid intake to prevent overhydration.”.
“Your child should only drink clear liquids until their condition improves.”..
The Correct Answer is A
Choice A rationale:
This is The correct answer because it addresses the client's concern about dehydration.
Infants and young children with RSV infection are at risk of dehydration due to increased respiratory effort, fever, and decreased oral intake.
Encouraging oral fluids or providing intravenous fluids as prescribed helps prevent dehydration, ensuring the child remains hydrated during the illness.
Choice B rationale:
While adequate fluid intake is essential, stating a specific quantity like 8 glasses of water a day is not appropriate for infants and young children.
The fluid requirements vary based on the child's age, weight, and overall health condition.
Providing a specific quantity without proper assessment can be misleading and may not meet the child's individual needs.
Choice C rationale:
Limiting the child's fluid intake to prevent overhydration is not the primary concern in this context.
Dehydration due to increased respiratory effort and decreased oral intake is a more significant concern.
Adequate hydration is crucial in preventing complications associated with dehydration.
Choice D rationale:
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 foods, is important for the child's overall well-being during the illness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Administering bronchodilators as prescribed is appropriate for managing severe respiratory distress and wheezing in children with RSV infection.
Bronchodilators help dilate the airways, making it easier for the child to breathe.
This intervention addresses one of the specific symptoms mentioned in the scenario.
Choice B rationale:
Encouraging fluid intake is important to prevent dehydration, especially in children with respiratory infections.
It helps maintain hydration status, which is essential for overall health.
While important, this choice alone does not address the severe respiratory distress symptoms mentioned in the scenario.
Choice C rationale:
Monitoring oxygen saturation levels is crucial in children with RSV infection, especially when they exhibit symptoms of severe respiratory distress such as wheezing, retractions, nasal flaring, tachypnea, and cyanosis.
Monitoring oxygen saturation helps assess the child's oxygenation status and guides interventions such as oxygen therapy.
Choice D rationale:
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, encouraging fluid intake prevents dehydration, and monitoring oxygen saturation levels ensures appropriate oxygenation, allowing comprehensive care for the child’s condition.
Correct Answer is A
Explanation
Choice A rationale:
Your child may start to experience difficulty breathing.
This statement is accurate and crucial for the mother to be aware of.
RSV infections can progress to bronchiolitis or pneumonia, leading to more severe respiratory distress.
Difficulty breathing is a common symptom in these advanced stages of the infection, indicating the need for immediate medical attention.
Choice B rationale:
While a decreased appetite is a symptom mentioned in the scenario, it does not reflect the potential progression of RSV infection.
The focus should be on respiratory symptoms, which can indicate worsening conditions.
Choice C rationale:
Drowsiness is not a typical symptom of RSV progression.
Respiratory distress, such as difficulty breathing, is a more concerning sign and requires prompt medical evaluation.
Choice D rationale:
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.
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