Author Question: The mother of an 8-month-old baby says that she has no idea how child developed respiratory ... (Read 59 times)

cookcarl · **on:** Jul 22, 2018

The mother of an 8-month-old baby says that she has no idea how child developed respiratory syncytial virus (RSV) bronchiolitis. Which of the following should the nurse respond to this mother?

1. There is a higher risk in children who are being breast-fed.
2. There is a higher risk in children who are exposed to secondary cigarette smoke.
3. There is no way to avoid the illness.
4. It is seen more frequently in children who do not attend day care.

Question 2

A client concerned about privacy asks why it is necessary for the nurse to ask for private information and then document it in the chart. The best response by the nurse is:

1. You will be able to read the record and review your care..
2. Your family can review the record and ensure that care is appropriate..
3. A record ensures there are no breaches of confidentiality..
4. You will not have to repeat the information to those who care for you..

mceravolo · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. There is a higher risk in children who are exposed to secondary cigarette smoke.

Rationale:
Risk of infection is higher when the parent or caregiver smokes. Tobacco smoke increases mucous production and reduces the action of cilia within the airway passages. Exposure to secondhand smoke is thought to alter maturation of the respiratory epithelium. The risk of infection with RSV is higher for infants and toddlers who are not breast-fed, live in homes with secondary cigarette exposure, attend daycare, live in crowded conditions, or are socioeconomically disadvantaged. RSV can be avoided by limited these risk factors.

Answer to Question 2

4. You will not have to repeat the information to those who care for you..

Rationale:
The client's record serves as a vehicle by which different health professionals who interact with a client communicate with one another. This prevents fragmentation, repetition, and delays in client care, and relieves the client from having to repeat information to each provider offering care. The client can read the record, but that is not a reason to keep one. The client's family does not have access to the record. Record keeping does not prevent breaches of confidentiality.