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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Applying bilateral wrist restraints is not a standard intervention after cleft palate repair.
Restraints should be used judiciously and with clear indications to prevent injury.
B. The baby can start feeding normal diet after 24hrs
C. Administering opioids for pain is an appropriate action by the nurse. Opioids control pain in the immediate postoperative period are followed by administration of acetaminophen PRN.
D. Offering fluids through a straw is contraindicated after cleft palate repair, as it can disrupt the healing process and increase the risk of complications. Sippy cups or other appropriate utensils should be used.
Correct Answer is C
Explanation
A. The radial artery is commonly used for assessing the pulse in older children and adults but is less reliable in infants.
B. The brachial artery is often used to measure blood pressure in infants, but it may not be as accurate for heart rate assessment.
C. The apex of the heart (apical pulse) is the preferred site for assessing the heart rate in infants.
It is located at the point of maximal impulse (PMI).
D. The carotid artery is typically not used for routine assessment of the heart rate in infants
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