Author Question: An infant is being discharged from the hospital after treatment for respiratory syncytial virus ... (Read 53 times)

APUS57 · **on:** Jun 28, 2018

An infant is being discharged from the hospital after treatment for respiratory syncytial virus (RSV). The infant still has some mild respiratory distress at times. Which discharge instruction is the priority for this infant?

A.
Bring the child back if she runs a temperature.
B.
Feed baby small amounts while she is sitting up.
C.
Give her antibiotics right after feeding her.
D.
If you need to use the bulb suction, bring her back.

Question 2

A 5-month-old child is brought to the pediatric clinic by the parent, who reports the child has had a cough for 4 weeks. When reviewing the child's history, the nurse assesses that the child's last DTaP vaccination was at 2 months of age.

Which action by the nurse is the most appropriate?
A.
Inform the provider that both child and parent need antibiotics.
B.
Make an appointment for the next vaccination at 6 months.
C.
Obtain nasal washings for a culture and PCR testing.
D.
Weigh and measure the child; document all findings in the chart.

anyusername12131 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Guidelines for feeding a child with respiratory distress revolve around preventing aspiration. The child should be fed in an upright position and given small amounts, perhaps more often. An elevated temperature is usually seen in RSV. Antibiotics are not generally used for this disease. Parents needs to know how to use the bulb suction to help manage the accompanying rhinitis.

Answer to Question 2

ANS: C
All children with a chronic cough lasting longer than 3 weeks should have diagnostic testing for pertussis, including nasal washings for culture and PCR tests. This child has the risk factor for pertussis of inadequate immunizations; he should have had a second vaccination at 4 months. The best action by the nurse is to collect the specimens. If positive, both child and caretakers will need antibiotics, as pertussis is highly contagious. The child should receive a booster shot as soon as he is recovered. All children should be weighed and measured and findings documented in the chart.