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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. While monitoring for increased intracranial pressure is important, measuring head circumference every shift may not be necessary unless there is a specific indication or change in the child's condition.

B. Admitting the child to a private room is necessary to reduce the risk of spreading the infection to others.

C. Placing the child in a semi-Fowler's position can help reduce intracranial pressure and promote comfort.

D. Implementing seizure precautions is important, as children with bacterial meningitis are at risk for seizures.

A. Toy hammer and pounding board B. Stuffed animal C. Picture book about hospitals D. Set of building blocks

Correct Answer is B

Explanation

A. A toy hammer and pounding board may not be appropriate in a hospital setting and might not effectively address the child's emotional distress.

B. A stuffed animal can provide comfort and a sense of security for a young child experiencing separation anxiety. It serves as a transitional object, helping the child cope with the absence of the parent.

C. A picture book about hospitals may be informative, but it might not provide the immediate comfort and distraction needed during the tantrum.

D. A set of building blocks may be more suitable for creative play but may not offer the same level of emotional comfort as a stuffed animal in the given situation.

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A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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