Author Question: The mother of a 5-month-old baby, who attends daycare, is concerned because the child has developed ... (Read 93 times)

anjilletteb · **on:** Jun 25, 2018

The mother of a 5-month-old baby, who attends daycare, is concerned because the child has developed a runny nose, cough, and low-grade fever over the last few days. Based on this data, which diagnosis does the nurse anticipate?

A) Meningitis
B) Respiratory syncytial virus (RSV) bronchiolitis
C) Bronchitis
D) The common cold

Question 2

The nurse is providing care to a client recently diagnosed with chronic obstructive pulmonary disease (COPD). The client's family ask how their loved on got this disease.

Which risk factors for COPD will the nurse include in the teaching session?
A) Asthma and bronchitis
B) Asthma and emphysema
C) Bronchitis and emphysema
D) Emphysema and atelectasis

wshriver · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

The typical clinical presentation of respiratory syncytial virus (RSV) bronchiolitis in otherwise healthy children begins 3-5 days after exposure to the virus. The early signs of a mild infection include rhinorrhea or a runny nose, cough, irritability, and a low-grade fever for 1-3 days. A fever is not associated with the common cold. A runny nose and cough are not symptoms associated with meningitis. Bronchitis has a distinctive cough and may or may not be associated with a fever.

Answer to Question 2

Answer: C

Although one or the other may dominate, COPD typically includes components of both chronic bronchitis and emphysema, two distinctly different processes. Although the COPD complex can also include asthma, small airways disease, and narrowing of small bronchioles, it is more commonly known to include bronchitis and emphysema.