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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Removing outer clothing can be uncomfortable or distressing for toddlers, so it is often better to do this gradually, allowing the child to feel more at ease.
B. Allowing the toddler to sit in the parent's lap can provide comfort and security during the examination.
C. Allowing the toddler to inspect the stethoscope is an effective way to reduce anxiety and establish trust with the child.
D. Traumatic procedures, such as immunizations or blood draws, should be done last to avoid causing unnecessary distress during the examination.
Correct Answer is A
Explanation
A. Children with asthma are at an increased risk for respiratory infections, including pneumococcal infections. Therefore, pneumococcal immunization is recommended for children with asthma to help prevent pneumonia and other infections.
B. Salmeterol is a long-acting beta-agonist used for asthma maintenance and not for acute exacerbations. The nurse should instruct the guardian to use a quick-relief bronchodilator (e.g., albuterol) for acute symptoms.
C. When using a peak flow meter, the child should inhale as deeply as possible, but the exhalation should be long and forceful. Inhaling quickly may not give an accurate reading of lung function.
D. Physical activity and sports are important for children with asthma, as long as their asthma is well controlled. The nurse should not recommend avoiding school sports unless the child has an active exacerbation or poor asthma control.
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