A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?
Allow the toddler to play in the common room.
Keep thermometer in the toddler's room.
Initiate airborne precautions.
Place the toddler in a room that has negative air pressure.
The Correct Answer is B
A. RSV is primarily spread through respiratory droplets, so allowing the toddler to play in the common room may expose other children to the virus. The child should be placed in a private room.
B. Keeping the thermometer in the toddler's room allows for monitoring of the child's
temperature without the need to bring the thermometer to different areas, helping to prevent the potential spread of the virus.
C. Airborne precautions are not necessary for RSV. Standard precautions, including contact and droplet precautions, are sufficient.
D. Negative air pressure rooms are typically used for airborne infections such as tuberculosis, not for respiratory syncytial virus.
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Related Questions
Correct Answer is C
Explanation
A. Elevated temperature in a toddler with roseola is generally self-limiting and not immediately life-threatening.
B. A urine specific gravity of 1.016 in a 7-year-old with diabetes insipidus indicates a dilute urine concentration and is not an acute priority.
C. Sickle cell anemia can lead to vaso-occlusive crises, and severe chest pain could suggest a potential life-threatening complication such as acute chest syndrome. This requires immediate attention.
D. A PCO2 level of 37 mm Hg in a 4-year-old with asthma, while indicating respiratory distress, may not be as urgently life-threatening as severe chest pain in a child with sickle cell anemia.
Correct Answer is B
Explanation
A. Blood cultures are important in the diagnostic workup for bacterial meningitis, but the priority is to obtain cerebrospinal fluid through a lumbar puncture for definitive diagnosis.
B. A lumbar puncture is a priority in suspected bacterial meningitis to assess the cerebrospinal fluid for signs of infection and to guide appropriate treatment.
C. Administering an intravenous antibiotic is an important intervention, but the lumbar puncture takes precedence for confirming the diagnosis.
D. Placing the child in isolation is important for preventing the potential spread of infection, but the immediate diagnostic priority is the lumbar puncture.
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