Which of the following 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?
1. Good handwashing technique
2. Nutritional intake
3. Smoking cessation and avoiding all secondhand smoke
4. Encourage physical activity and play
3. Smoking cessation and avoiding all secondhand smoke
Rationale:
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 secondhand smoke. Good handwashing technique 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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