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.
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.
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