What Do You Know About Respiratory Syncytial Virus? Trivia Questions Quiz

The parents of a child diagnosed with bronchiolitis ask the nurse how the disorder is treated. Which response by the nurse is appropriate?

• "Antibiotics will be given for a period of 10 days."

• "A medication called dexamethasone helps to heal the lungs."

• "An inhaler will be used and the symptoms will be gone in about 24 hours."

• "The focus is on managing symptoms and providing supportive care."

______________ highly contagious respiratory infection. Affects almost all children before age 2

Which should the nurse administer to provide quick relief to a child with asthma who is coughing, wheezing, and having difficulty catching her breath?

• . Prednisone.

• Singulair (montelukast).

• Albuterol.

• Flovent (fluticasone).

The nurse is providing discharge instruction to the parents of a 7-month-old patient admitted with bronchiolitis. The nurse explains the process of observing breathing patterns as a way to determine respiratory distress. Which statement by the parent displays an understanding of this intervention?

• "If my child cries, they are most likely in respiratory distress."

• "I can place my hand on their chest to check for distress."

• "I should observe the pattern while my child is lying on their belly."

• "If I can see the rib cage retract, I should seek medical attention."

RSV Results debris clogs minute airways.

• True

• False

An infant is hospitalized with RSV bronchiolitis. The priority nursing diagnosis is:

•  fatigue related to increased work of breathing. 

• Ineffective breathing pattern related to airway inflammation and increased secretions. 

• Risk for fluid volume deficit related to tachypnea and decreased oral intake. 

• Fear and/or anxiety related to dyspnea and hospitalization.

The nurse is teaching the parents of a child with bronchiolitis about the care needed at home. Which statement by the parents indicates instructions have been effective?

• "We should stop the antibiotics once the bronchiolitis symptoms go away."

• "We will provide extra stimulation for our child."

• "We will administer the prescribed amoxicillin 1 hour before meals."

• "It is important to give our child extra fluids."

More than 20 seconds without breath is called _________

Infants with bronchopulmonary dysplasia are commonly treated with bronchodilators such as theophylline. Which of the following adverse effects is common with this drug?

• Lethargy

• Decreased calcium level

• Increased heart rate

• Decreased serum potassium level

The mother of a hospitalized 2-year-old child with viral laryngotracheobronchitis (croup) asks the nurse why the health care provider did not prescribe antibiotics. Which response should the nurse make?

• "The child may be allergic to antibiotics."

• "The child is too young to receive antibiotics."

• "Antibiotics are not indicated unless a bacterial infection is present."

• "The child still has the maternal antibodies from birth and does not need antibiotics."

The nurse instructs the parents of a patient with a respiratory syncytial virus (RSV) to monitor oral intake and count diapers. The parents ask why this is important. Which response by the nurse is accurate?

• "This will reduce the risk of gaining a concurrent infection."

• "This will help to identify if your child is becoming dehydrated."

• "This intervention is to check if the medication is working."

• "This intervention demonstrates whether the child is getting adequate nutrition."

RSV causes _________ sound's in airways.

• Crackles

• Ronchi

A client diagnosed with bronchitis asks the nurse about the function of the bronchi. Which should the nurse include in the  response?

• Help to keep the lungs inflated

• Capture and help sweep the debris toward the mouth for removal when coughing

• Contain the​ heart, trachea,​ esophagus, and the great vessels

• Warm and moisten air as it moves through the respiratory tract to the alveoli

The mother of an infant diagnosed with bronchiolitis asks the nurse what causes this disease. The nurse's response would be based on the knowledge that the majority of infections that cause bronchiolitis are a result of_______

The nurse is discussing the pharmacologic treatment of infant patients with bronchiolitis. Which medication would the nurse identify as having tachycardia and generalized tremors as a side effect?

• Antibacterials

• Nebulizers

• Corticosteroids

• Bronchodilators

An infant with a congenital heart defect is receiving palivizumab (Synagis). The purpose of this is to:

• Prevent RSV infection. 

• Prevent secondary bacterial infection. 

• Decrease toxicity of antiviral agents. 

• Make isolation of infant with RSV unnecessary.

The nurse assessing a newborn suspect's respiratory distress. Which finding supports the suspicion?

• Intercostal retractions

• Abdominal breathing

• Respiratory rate of 44

• Acrocyanosis at birth

A child with asthma is having pulmonary function tests. Which explains the purpose of the forced expiratory volume (FEV1)?

• Confirm the diagnosis of asthma 

• Determine the cause of asthma 

• Identify the "triggers" of asthma 

• Assess the severity of asthma

A 4-year-old child needs to use a metered-dose inhaler to treat asthma. The child cannot coordinate her breathing to use it effectively. The appropriate intervention by the nurse is to use a:

• Spacer. 

• Nebulizer. 

• Peak expiratory flow meter. 

• Trial of chest physiotherapy.

The nurse is caring for a 4-month-old patient diagnosed with a mild case of bronchiolitis. Which action should the nurse take to help the patient at this time?

• Use an inhaled bronchodilator as prescribed.

• Administer antibiotics as prescribed.

• Administer palivizumab as prescribed.

• Suction the nose frequently, especially before feeding.

The nurse is speaking to the parents of a patient with bronchiolitis caused by respiratory syncytial virus (RSV). Which respiratory structure should the nurse identify as being obstructed?

• Cilia

• Small airways

• Large airways

• Pulmonary artery

A child with respiratory syncytial virus (RSV) is admitted to a care area. Which action by the nurse will prevent the spread of infection?

• Prohibit contact with patients who do not have RSV.

• Cover the child's face with a mask.

• Admit the child to the intensive care unit

• Avoid use of alcohol-based hand sanitizer.

_________is a common respiratory virus that usually causes mild, cold-like symptoms.

The parent of a 2-year-old patient with bronchiolitis caused by a respiratory syncytial virus (RSV) asks the nurse why the child has been coughing so much. Which response by the nurse is accurate?

• "The bacterial infection irritates the lining of the bronchial tubes and stimulates the cough reflex."

• "The virus causes body fluids to move into the lungs, which the body tries to remove by coughing."

• "The bacterial infection forces white blood cells to move into the lungs, which are removed by coughing."

• "The virus causes dead cells in the lining of the lungs and large amounts of mucus that stimulate the cough reflex."

A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration. This suggests

• Asthma

• Pneumonia

• Bronchiolitis

• Foreign body in trachea

An 11-month-old patient is admitted to the intensive care unit for treatment of severe bronchiolitis and concurrent pneumonia. Which medication should the nurse anticipate will most likely be prescribed for this patient?

• Epinephrine

• Bronchodilator

• Antibiotic

• Corticosteroid

The nurse auscultating breath sounds of an infant with respiratory syncytial virus would immediately report the assessment of:

• Respiration rate decrease from 40 to 32 breaths/min. 

• Heart rate decrease from 110 to 100 beats/min. 

• "quiet chest" from previous assessment of wheezing. 

• Oxygen saturation of 90%

______________________ lower respiratory tract illness causing inflammation and obstruction of bronchioles.

Which method is correct for measuring a  client's respiratory rate?

• Measure the respiratory rate for 15 seconds and multiply by 4.

• Measure the respiratory rate for 1 minute.

• Measure the respiratory rate for 6 seconds and multiply by 10.

• Measure the respiratory rate for 30 seconds and multiply by 2.

Which intervention is appropriate for the infant hospitalized with bronchiolitis?

•  Position on the side with neck slightly flexed.

• Administer antibiotics as ordered.

• Restrict oral and parenteral fluids if tachypneic.

• Give cool, humidified oxygen.

RSV can survive on hard surfaces for how long?

• Several hours

• 4 hours

• 24 hours

• 10 days

A 6-year-old patient is diagnosed with bronchiolitis. Which assessment should the nurse prioritize for this patient?

• Observe for signs of obstruction.

• Monitor closely for lengthening of paroxysms.

• Observe for labored respirations.

• Assess for seizures

Number one goal for rsv is to ___________ it.

An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial virus (RSV). The nurse knows that a child infected with this virus requires the following isolation:

•  reverse isolation.

• Airborne isolation.

• Contact Precautions.

• Standard Precautions

Serious signs, symptoms of RSV 

• Increased irritability

• Rhinorrhea

• Excessive coughing

• Wheezing

 _________________ a complete or partial collapse of the entire lung or area.

Call emergency medical services (EMS) for transport for these symptoms

• Marked retractions of ribcage

• Nasal flaring

• Rapid respiratory rate

• Blue skin

• Low-grade fever

A school-age child had an upper respiratory tract infection for several days and then began having a persistent dry, hacking cough that was worse at night. The cough has become productive in the past 24 hours. This is most suggestive of

•  Bronchitis

• Bronchiolitis

• Viral-induced asthma

• Acute spasmodic laryngitis

Which clinical manifestation should the nurse expect to observe in the client with asthma? 

• Retractions

• Dyspnea

• Wheezing

• Bradycardia

• Cough

The nurse is assessing an  8-year-old client. Which anatomical difference should the nurse expect to find compared to an adult? 

• Small mouth with large tongue

• Atrophy of the tonsils

• Smaller nasopharynx

• Soft tracheal cartilage

• Larynx and glottis lower in the neck

The nurse is caring for an infant with bronchiolitis, and diagnostic tests have confirmed respiratory syncytial virus (RSV). On the basis of this finding, which is the MOST APPROPRIATE nursing action?

• Initiate strict enteric precautions.

• Move the infant to a room with another child with RSV.

• Leave the infant in the present room because RSV is not contagious.

• Inform the staff that they must wear a mask, gloves, and a gown when caring for the child.

An infant patient with respiratory syncytial virus (RSV) is ordered delivery of nutrition via an intravenous (IV) line. The infant's parent asks why IV nutrition is being ordered. Which response by the nurse is correct?

• Your child is vomiting and cannot tolerate oral feedings."

• Rapid breathing indicates the need for IV nutrition."

• "Fluid in the lungs indicates the need for IV nutrition."

• "IV nutrition is typical protocol for this type of infection."

Palivizumab

• Infants at high risk for serious RSV infections

• Not effective in treatment of acute RSV infection

• Not recommended for use in general prevention of healthcare-associated RSV infection

• For well immuned children