Certified Pediatric Nurse (CPN)

What additional intervention might a nurse include in the care of a 2-month-old with RSV?

1. Administer albuterol every four hours

2. Administer racemic epinephrine every six hours

3. Administer hypotonic saline as needed

4. Provide no additional intervention as RSV is a virus

The correct answer is: Provide no additional intervention as RSV is a virus

When considering the care for a 2-month-old with respiratory syncytial virus (RSV), the correct approach acknowledges that RSV is a viral infection, thus limiting the need for more aggressive treatment modalities typically reserved for bacterial infections or conditions requiring bronchodilation. By stating that no additional intervention is required beyond standard supportive care, this response aligns with the general consensus on managing simple cases of RSV, particularly in infants who are primarily symptomatic. Primary interventions often focus on maintaining adequate hydration, monitoring respiratory status, ensuring the airway is clear, and providing comfort measures. While other options suggest administering medications such as bronchodilators or epinephrine, these treatments aren't routinely indicated for RSV unless significant wheezing or airway obstruction occurs. Hypotonic saline, although potentially beneficial in other contexts, is not a standard treatment for RSV in this age group. Therefore, recognizing that RSV typically runs its course with supportive measures is crucial in the care plan for these young patients.