Safe, Effective Care Environment
36. A nurse prepares to admit a child diagnosed with respiratory syncytial virus (RSV). Which infection control measure would be most appropriate for this child?
Safe, Effective Care Environment
36. A nurse prepares to admit a child diagnosed with respiratory syncytial virus (RSV). Which infection control measure would be most appropriate for this child?
. Place child in a negative pressure room.
. Place child on contact precautions.
. Place child on airborne precautions.
. Place child in a positive pressure room.
Test-Taking Tip
Airborne precautions and negative pressure rooms are similar responses and can be eliminated.
Content Area: Child Health, Respiratory; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Safety and Infection Control/Standard/Transmission-based/Other Precautions
Safe, Effective Care Environment
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Answer 1 is incorrect since a negative pressure room should only be used for controlling the spread of an infectious agent that can remain suspended in the air, such as tuberculosis. Answer 2 is correct because RSV is transmitted by contact. The child diagnosed with RSV should be placed on contact precautions (gown, gloves) with strict emphasis on hand washing. Answer 3 is incorrect because RSV is not an airborne infectious agent. Answer 4 is incorrect since the child with RSV does not need a positive pressure room. Positive pressure rooms keep outside air from entering the client's space and are designed specifically to protect clients who are severely immunocompromised from acquiring infections while hospitalized.