Author Question: The nurse is providing care to a client with respiratory syncytial virus (RSV). The client's ... (Read 41 times)

Wadzanai · **on:** Jun 25, 2018

The nurse is providing care to a client with respiratory syncytial virus (RSV). The client's condition is not severe and there is no history of immune compromise. Which pharmacologic therapies does the nurse anticipate based on this data?

Select all that apply.
A) Nebulized epinephrine
B) Ribavirin
C) Systemic corticosteroids
D) Antibiotics
E) Antipyretics

Question 2

Which interventions would be the most beneficial for the nurse to discuss with the parents of a child who has had repeated admissions for respiratory syncytial virus (RSV) bronchiolitis?

Select all that apply.
A) Do not smoke, and avoid all secondhand smoke around the child.
B) Practice frequent hand washing.
C) Encourage physical activity and play.
D) Consider alternatives to sending the child to daycare.
E) Ensure an adequate nutritional intake.

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

Answer to Question 1

Answer: A, C, E

Use of nebulized epinephrine in combination with systemic corticosteroids has been found to result in some reduction in RSV hospitalizations. Antipyretics may be used to treat the fever associated with RSV. Unless the client also has a bacterial infection, antibiotics will not be prescribed. The use of Ribavirin remains controversial because it has only marginal benefit. Its use is reserved for cases of severe disease, such as infants with complicated congenital heart disease or who are immunocompromised.

Answer to Question 2

Answer: A, D

The child has had repeated admissions for RSV bronchiolitis, and exposure to cigarette smoke is a known risk factor for the development of the illness. The nurse should discuss with the parents the need for smoking cessation and not permitting the child to be exposed to other sources of secondhand smoke. Attending daycare is another risk factor for the development of the disorder. The nurse should ask the parents to consider alternatives to sending the child to daycare. Practicing frequent hand washing is beneficial but not the priority for this client and parents at this time. Nutritional intake and physical activity are also important but not of the highest priority to the child and parents at this time.