The nurse-manager of a pediatric unit needs to assign a room for a 6-month-old diagnosed with respiratory syncytial virus (RSV). Which room assignment is best for the nurse-manager to make?

Double room with a 4-month-old who has RSV.

Private room with negative air pressure.

Private room furthest from the nurses station.

Double room with a 6-month-old on droplet precautions.

Answer and Explanation

The Correct Answer is A

- A: Placing the 6-month-old with RSV in a double room with a 4-month-old who also has RSV is appropriate because they have the same infection, which reduces the risk of cross-infection with other pathogens. Cohorting patients with the same infectious disease is a common practice to prevent the spread to other patients.
- B: A private room with negative air pressure is typically used for patients who have airborne infections, which require a higher level of isolation to prevent the spread of diseases that are transmitted through the air. RSV is primarily spread through close contact and droplets, not through the air.
- C: A private room furthest from the nurse's station would not be ideal as it could delay care and observation for a young infant with a serious respiratory infection. Proximity to the nursing staff ensures prompt attention if the infant's condition changes.
- D: A double room with a 6-month-old on droplet precautions is not the best choice because it poses a risk of transmitting RSV to the other infant, who may not have RSV, leading to potential complications and further spread of infection within the unit.

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Correct Answer is A

Explanation

Choice A: cottage cheese has about 364 mg of sodium per 100 g, which is much higher than the other options.

Choice B: Broccoli is a generally healthy vegetable and does not need to be avoided solely for sodium intake unless heavily salted. Broccoli has only 33 mg of sodium per 100g.

Choice C: Ground sirloin has 75 mg of sodium per 100g which is much lower than that contained by cottage cheese.

Choice D: Bananas are a low-sodium food and do not need to be avoided for sodium intake.

A. Maintain protein intake and increase intake of fruits and vegetables. B. Decrease protein intake and eat more whole grains and vegetables. C. Increase protein intake with the additional intake of dairy products. D. Maintain protein intake but substitute fish and nuts for meat and eggs.

Correct Answer is D

Explanation

Choice A: Maintaining protein intake and increasing intake of fruits and vegetables is generally a balanced and healthy approach to nutrition.

Choice B: Decreasing protein intake and eating more whole grains and vegetables may not be necessary unless there are specific dietary restrictions or medical indications.

Choice C: Increasing protein intake with additional dairy products may not be needed and depends on individual dietary preferences and nutritional goals.

Choice D: Maintaining protein intake but substituting fish and nuts for meat and eggs can be a balanced and healthy dietary choice. Fish and nuts can provide protein and healthy fats while reducing saturated fat intake from red meat and eggs.

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The nurse-manager of a pediatric unit needs to assign a room for a 6-month-old diagnosed with respiratory syncytial virus (RSV). Which room assignment is best for the nurse-manager to make?

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