what is a common early sign of rsv respiratory syncytial virus in infants
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HESI LPN

HESI PN Nutrition Practice Exam

1. What is a common early sign of RSV (respiratory syncytial virus) in infants?

Correct answer: B

Rationale: Nasal congestion is a common early sign of RSV in infants, often accompanied by cough and wheezing. High fever, rash, and jaundice are not typically associated with RSV. While RSV can lead to fever, it is usually not one of the earliest signs. Rash and jaundice are unrelated to RSV symptoms.

2. What is an important nursing intervention for a child with a newly inserted central venous catheter?

Correct answer: A

Rationale: Regularly monitoring for signs of infection is a critical nursing intervention for a child with a newly inserted central venous catheter. This intervention is essential to detect any early signs of infection, such as redness, swelling, or drainage at the catheter site, which can lead to serious complications like sepsis. Administering intravenous fluids as ordered is important but not the most crucial intervention for a newly inserted central venous catheter. Restricting the child's movement is unnecessary unless specified by the healthcare provider. Performing daily dressing changes alone is not sufficient to ensure the catheter's integrity and the child's safety; monitoring for signs of infection is key.

3. What is the primary goal in managing a child with chronic asthma?

Correct answer: A

Rationale: The primary goal in managing a child with chronic asthma is to achieve and maintain symptom control. This helps improve the child's quality of life by reducing asthma symptoms and exacerbations. Choice B is incorrect because avoiding all physical activity is not recommended for children with asthma; in fact, regular physical activity can be beneficial. Choice C is incorrect as increasing dietary sodium is not a primary goal in managing asthma. Choice D is incorrect because restricting medication use can lead to uncontrolled asthma symptoms and complications.

4. What is an important aspect of managing a child with chronic kidney disease?

Correct answer: A

Rationale: Monitoring electrolyte levels is crucial in managing chronic kidney disease in children because imbalances can lead to serious complications. Electrolyte levels must be carefully monitored to prevent issues such as electrolyte abnormalities, which can further impact kidney function and overall health. Choices B, C, and D are incorrect because increasing protein intake, limiting fluid intake, and encouraging a high-fat diet can exacerbate kidney disease in children by putting extra strain on their kidneys or causing other health problems.

5. What type of vaccine should a child with a history of severe allergic reactions receive?

Correct answer: B

Rationale: Children with a history of severe allergic reactions should receive inactivated vaccines because they do not contain live pathogens. Live attenuated vaccines (choice A) contain weakened live pathogens and can potentially trigger an allergic reaction in sensitive individuals. Subunit vaccines (choice C) and recombinant vaccines (choice D) may contain components that could still trigger an allergic response in individuals with a history of severe allergies. Inactivated vaccines are the safest choice for individuals with a history of severe allergic reactions as they do not pose a risk of causing an allergic reaction due to the absence of live pathogens.

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