child health

Question 1

RSV.

Answer 1

Isolation precautions: Implement droplet and
contact precautions and assign clients with RSV to a private room or cohort with other
children with RSV. Ensure the nurse assigned to care for a client with RSV is not caring for other high-risk children (premature infants, chronic
lung disease).

Question 2

RSV.

Answer 2

Palivizumab: Prevent RSV in high-risk children
with monthly IM injections of palivizumab during
RSV season.

Question 3

Immediately notify HCP of signs of respiratory distress:

Answer 3

Grunting
Apneic spells, tachypnea
Cyanosis
Avoid administration of bronchodilators or
antibiotics as they are ineffective for RSV.

Question 4

RSV.

Answer 4

Airway and oxygenation: Keep head of the bed
elevated to improve lung expansion. Instill nasal
saline drops and suction nares with a bulb syringe to thin and remove secretions before
feedings and sleep.

Question 5

RSV.

Answer 5

Respiratory distress: Grunting, apneic spells, tachypnea, and cyanosis indicate respiratory
distress.

Question 6

RSV.

Answer 6

Hydration and nutrition: Offer small, frequent feedings and monitor for signs of dehydration
like weight loss, decreased urine output, and sunken fontanels.