A nurse is reviewing potential provider orders for a client with respiratory syncytial virus (RSV). Which of the following orders should the nurse anticipate?
Explanation & Rationale
Choice A rationaleA nasopharyngeal specimen is crucial for confirming RSV infection. This test detects viral antigens or RNA through assays like immunofluorescence or polymerase chain reaction. Such diagnostic accuracy guides treatment decisions and minimizes misdiagnosis.Choice B rationaleSterile suctioning clears nasal secretions, improving airway patency and oxygenation. This intervention is especially necessary before feeding to prevent aspiration, which can exacerbate respiratory distress. Suctioning supports effective feeding by maintaining a clear nasal passage.Choice C rationaleNebulized albuterol sulfate is primarily indicated for bronchospasm related to conditions like asthma. While RSV can cause wheezing, bronchodilators are not typically effective for viral-induced airway inflammation and are not a standard treatment for RSV.Choice D rationaleAdministering oxygen to maintain SaO2 above 90% is essential for managing hypoxemia in RSV cases. Oxygen therapy ensures adequate tissue oxygenation, preventing complications like respiratory failure. This is a cornerstone of supportive care for RSV.Choice E rationaleChest percussion and drainage are not standard RSV treatments. This intervention targets mucus mobilization in chronic or bacterial respiratory conditions. RSV management focuses on supportive measures like suctioning and hydration rather than percussion.