A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?
Barrel chest
Clubbing of the fingers
Vesicles on the trunk
Rhinorrhea
The Correct Answer is D
A. Barrel chest is not a typical finding in RSV. It is more commonly associated with chronic respiratory conditions, such as chronic obstructive pulmonary disease (COPD) or cystic fibrosis.
B. Clubbing of the fingers is usually seen in chronic respiratory conditions like cystic fibrosis, but it is not a typical manifestation of RSV, which is usually acute.
C. Vesicles on the trunk are characteristic of viral infections such as chickenpox, not RSV. RSV primarily affects the respiratory system, causing symptoms like wheezing and coughing.
D. Rhinorrhea, or a runny nose, is a common early symptom of RSV. RSV often starts with cold-like symptoms, including nasal congestion, rhinorrhea, and cough, before progressing to more severe respiratory distress.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Chocolate malt typically contains malted barley, which contains gluten. This would not be appropriate for a child with celiac disease, as gluten can trigger an immune response and cause damage to the small intestine.
B. Rice is a gluten-free grain, making rice pudding a safe food choice for children with celiac disease. The parent demonstrates understanding of appropriate gluten-free foods.
C. Rye bread contains gluten, which is harmful to individuals with celiac disease. Rye is not a suitable option for this child.
D. Barley contains gluten and should be avoided in children with celiac disease. Barley-based breakfast cereals would not be safe for the child.
Correct Answer is D
Explanation
A. The Poker Chip Tool is used to assess pain in children who can understand the concept of "a few" to "lots" of pain, typically in older children. It is not appropriate for infants or toddlers.
B. The Color tool is used for children who can associate color with pain intensity, but it is generally for older children who can understand this system, not for infants.
C. The Numeric scale is designed for children who are old enough to understand and use numbers (typically older than 8 years). An 18-month-old would not be able to understand this scale.
D. The FLACC (Face, Legs, Activity, Cry, Consolability) scale is specifically designed to assess pain in infants and nonverbal children. It uses behavioral indicators to rate pain intensity and is appropriate for an 18-month-old toddler.
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