A nurse is providing teaching to the guardians of a child who has respiratory syncytial virus (RSV). Which of the following information should the nurse include?
Administer an antibiotic to the child for 10 days.
Cyclophosphamide can be given to decrease the duration of the infection.
Wear an N95 mask when in direct contact with the child.
RSV is transmitted by direct contact with respiratory secretions.
The Correct Answer is D
A. Administer an antibiotic to the child for 10 days: RSV is a viral infection, and antibiotics are ineffective against viruses. Antibiotics are only indicated if a secondary bacterial infection develops. Routine antibiotic therapy does not treat RSV and should not be included in teaching.
B. Cyclophosphamide can be given to decrease the duration of the infection: Cyclophosphamide is an immunosuppressive chemotherapy agent and has no role in treating RSV. Administering this medication would be inappropriate and harmful in a child with a viral respiratory infection.
C. Wear an N95 mask when in direct contact with the child: Standard precautions for RSV involve contact and droplet precautions, typically including a surgical mask, gloves, and gown. An N95 mask is not required for routine care of RSV, as transmission risk is primarily via contact with secretions and large respiratory droplets.
D. RSV is transmitted by direct contact with respiratory secretions: RSV spreads through close contact with contaminated secretions from coughing, sneezing, or touching surfaces. Teaching guardians about transmission helps prevent spread and reinforces the importance of hand hygiene and infection control measures in the home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You will have a urine test for the herpes simplex virus": Routine prenatal screening does not include urine testing for herpes simplex virus. Testing for HSV is typically done based on symptoms or history, not as a standard prenatal test.
B. "You will have a rectovaginal culture to test for group B streptococcus.": Group B streptococcus screening is a standard prenatal test performed between 35 and 37 weeks of gestation using a rectovaginal swab. Identifying colonization allows for intrapartum antibiotic prophylaxis to prevent neonatal infection.
C. "You will have a urine test to check for toxoplasmosis": Routine urine testing does not screen for toxoplasmosis. Testing for toxoplasmosis is usually done via blood tests in women at high risk, not standard urine tests.
D. "You will undergo amniotic fluid sampling to test for cytomegalovirus.": Amniocentesis for cytomegalovirus is not part of routine prenatal care and is typically only performed if there is a known risk or suspected fetal infection. Standard prenatal tests focus on more common conditions.
Correct Answer is D
Explanation
A. A cervical cap is recommended for clients who have an abnormal Papanicolaou (Pap) test: A cervical cap is not recommended for clients with abnormal Pap results because it may irritate the cervix or complicate follow-up care. Clients should wait until any cervical abnormalities are resolved before using this method.
B. Hormonal contraceptive methods decrease the client's risk for hypertension: Hormonal contraceptives, particularly those containing estrogen, can actually increase the risk of hypertension and thromboembolic events in some clients, rather than reduce it. Blood pressure monitoring is recommended during use.
C. Fertility awareness-based methods are more effective than hormonal methods: Fertility awareness methods generally have higher failure rates compared to hormonal contraceptives. Hormonal methods provide more reliable pregnancy prevention when used correctly.
D. Barrier methods can be used by clients who are breastfeeding: Barrier methods, such as condoms, diaphragms, and cervical caps, are safe for breastfeeding clients because they do not affect milk production or hormone levels. They provide effective contraception without interfering with lactation.
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