Judy is a 6-month-old who is being

Judy is a 6-month-old who is being admitted to the pediatric unitwith a diagnosis of croup and suspicion of respiratory syncytial virus (RSV). She has been running a fever for the last 24 hours of 102°F with a seal-like barking cough at night until she gags. She was admitted since the health care provider was not sure if the croup was viral or bacterial. The infant looks pale and lethargic. Both parents are concerned that the infant is not acting like her normal self. She is admitted for intravenous fluids,diagnostic and laboratory testing, and 24-hour observation to rule out other respiratory distress disorders. 1. The majority of the cases of croup are caused by________________________. 2. Croup symptoms most often occur at night and have sudden presentation. True or False 3. List the most common symptoms associated with croup. a. b. c. d. 4. Medical interventions for the treatment of croup include: ❑ Corticosteroids ❑ Racemic epinephrine ❑ Humidified air ❑ Increased fluid intake ❑ Upright positioning ❑ Calm environment ❑ Ice collar to neck Judy was experiencing difficulty breathing, so she was placed on oxygen via nasal cannula at 1 liter along with continuous pulse oximetry monitoring. An IV was started with D5 ¼ normal saline to prevent dehydration from being febrile. The health care provider wrote orders for nasopharyngeal suctioning as needed and prednisolone IV for a one-time dose. 5. RSV is a highly contagious virus in infants and toddlers and may be contracted through direct contact with respiratory secretions or from particles on inanimate objects contaminated with the virus. True or False 6. The only monoclonal antibody approved that can prevent severe RSV disease in susceptible infants and toddlers is which medication? A. Remicade B. Synagis C. Methotrexate D. Humira 7. List the priority nursing interventions required in the management of RSV. SCIENCE HEALTH SCIENCE NURSING NUR 21123

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