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 B
Explanation
A. A respiratory rate of 20/min is within the normal range, and while it should be monitored, it is not the priority in this case.
B. Blood pressure is a critical indicator of perfusion and can be affected by internal bleeding or other serious injuries. A low blood pressure may suggest significant blood loss and is the priority in assessing for shock.
C. A heart rate of 72/min is within the normal range for an adolescent. While it should be monitored, it is not the immediate priority.
D. Abdominal pain is a subjective measure and, while important, may not accurately reflect the severity of internal injuries. The priority is to assess the hemodynamic stability, as indicated by blood pressure.
Correct Answer is B
Explanation
A. Squamous cell carcinoma is a type of cancer and typically presents as a persistent sore or ulcer, not as a white, milky plaque.
B. Candidiasis, also known as oral thrush, can occur in immunocompromised individuals, especially those on antibiotics, immunosuppressants, and corticosteroids. The white, milky plaque that does not come off with rubbing is characteristic of candidiasis.
C. Herpes simplex can cause painful oral lesions, but it usually presents as vesicles that rupture to form ulcers.
D. Dermatitis refers to inflammation of the skin and is not typically associated with white plaques in the mouth.
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