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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Related Questions
Correct Answer is C
Explanation
A. Neomycin is not a contraindication to the influenza vaccine. However, if a person has a known neomycin allergy, they should avoid specific vaccines containing neomycin, but this is not typically a concern with the influenza vaccine.
B. Gluten allergies are not a contraindication for the influenza vaccine. Gluten is not an ingredient in most influenza vaccines, so a gluten allergy would not impact vaccine administration.
C. The influenza vaccine contains trace amounts of egg proteins, and individuals who have had a severe allergic reaction (anaphylaxis) to eggs should not receive this vaccine, or they should receive it under close supervision with appropriate precautions. This is because egg-based production methods of the vaccine may pose a risk.
D. Gelatin is a common ingredient in some vaccines, but a gelatin allergy is not typically a contraindication for the influenza vaccine. However, if a child has a severe allergic reaction to gelatin, caution would be taken in administering the vaccine.
Correct Answer is D
Explanation
A. A high-fat, low-protein diet is not appropriate for a toddler with cystic fibrosis. The body’s increased need for protein due to malabsorption requires a higher protein intake to support growth and repair.
B. A low carbohydrate, high-fat diet is not ideal for a child with cystic fibrosis. The child requires a balanced diet to meet their energy needs, with adequate carbohydrates, fats, and proteins.
C. A moderate protein, low-calorie diet would not meet the nutritional needs of a toddler with cystic fibrosis. The child needs a high-calorie diet to compensate for the malabsorption of nutrients.
D. A high-protein, high-calorie diet is the recommended diet for children with cystic fibrosis, as they have increased metabolic demands and require more calories and protein to support growth and prevent malnutrition.
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