A nurse is caring for a child with Respiratory Syncytial Virus (RSV).
The nurse knows that maintaining a patent airway is crucial in the management of this condition.
The child’s mother asks the nurse, “What can I do to help my child breathe better?” Which of the following responses by the nurse would be most appropriate?
“You should try to keep your child calm and comfortable.”.
“It would be helpful if you could suction your child’s nose and mouth as needed to remove secretions.”.
“You might want to consider giving your child over-the-counter cold medicine.”.
“It’s best if you avoid feeding your child until their breathing improves.”..
The Correct Answer is B
Choice A rationale:
Keeping the child calm and comfortable is generally advisable, but in the context of RSV infection, maintaining a patent airway is crucial.
While comfort measures are essential, this choice does not directly address the mother's query regarding improving the child's breathing.
Choice B rationale:
This is The correct answer because suctioning the child's nose and mouth as needed helps in removing secretions, thus maintaining a clear airway.
RSV infection often leads to increased mucus production, which can obstruct the airways, making it difficult for the child to breathe.
By suctioning secretions, the mother can help her child breathe more comfortably, which is essential in managing RSV infection.
Choice C rationale:
Over-the-counter cold medicine is generally not recommended for infants and young children due to the risk of adverse effects.
Additionally, these medications may not specifically address the underlying cause of respiratory distress in RSV infection.
Choice D rationale:
Avoiding feeding the child until their breathing improves is not appropriate advice.
Nutrition is essential, especially for infants, and withholding feeding could lead to dehydration and other complications.
It is important to maintain adequate nutrition while managing the respiratory distress caused by RSV infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
This statement is incorrect.
RSV is most common in winter and early spring, not summer and fall.
Stating this misinformation would not effectively educate the parents about RSV prevention during the high-risk months.
Choice B rationale:
This is The correct answer.
RSV does occur in yearly outbreaks, especially in winter and early spring.
By emphasizing this, the nurse educates parents about the specific periods when they should take extra precautions to prevent RSV transmission.
Choice C rationale:
This statement is incorrect.
RSV is indeed seasonal, with higher incidence during the winter and early spring months.
Denying its seasonality would provide inaccurate information to the parents.
Choice D rationale:
This statement is incorrect.
RSV primarily affects infants and young children, not adults.
Providing this misinformation would not help parents understand the risks associated with RSV for their children.
Correct Answer is A
Explanation
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.
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