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 ["B","C","D"]
Explanation
Choice A rationale:
This statement is incorrect.
A history of recurrent pneumonia is not a specific indicator of RSV infection.
RSV primarily affects the respiratory system, causing symptoms such as cough, wheezing, and difficulty breathing.
Choice B rationale:
This is a correct answer.
RSV symptoms typically appear 2 to 5 days after exposure.
Including this option helps identify the duration of symptoms, which is relevant to diagnosing RSV.
Choice C rationale:
This is a correct answer.
RSV commonly presents with symptoms like high fever and severe cough.
Recognizing these symptoms can help healthcare providers consider RSV as a possible diagnosis.
Choice D rationale:
This is a correct answer.
RSV can lead to bronchiolitis, which is inflammation of the small airways in the lungs.
Diagnosing a child with bronchiolitis can raise suspicion of RSV infection.
Choice E rationale:
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 ["A","B","C","E"]
Explanation
Choice A rationale:
Isolating the child from other children or adults with respiratory infections is crucial in preventing the spread of Respiratory Syncytial Virus (RSV).
RSV is highly contagious and spreads through respiratory droplets.
By isolating the infected child, the nurse helps prevent the transmission of the virus to others.
Choice B rationale:
Using contact precautions such as gown and gloves when caring for the child is essential to prevent the spread of RSV.
Direct contact with respiratory secretions can easily lead to transmission.
Wearing protective gear like gowns and gloves creates a barrier, reducing the risk of contamination and spread.
Choice C rationale:
Encouraging frequent hand hygiene is a fundamental preventive measure.
RSV can survive on surfaces for several hours, so regular handwashing with soap and water for at least 20 seconds can help eliminate the virus from hands, reducing the risk of infection.
Choice E rationale:
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.
Choice D rationale:
Allowing siblings to share toys and utensils with the infected child is not recommended.
RSV spreads through respiratory droplets and direct contact with contaminated surfaces.
Sharing toys and utensils can facilitate the transmission of the virus to other children, increasing the risk of infection.
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