Pediatric Respiratory Practice Test

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Which statement indicates the parent needs further teaching on preventing RSV spread to other children?

Synagis will not help the child who has already contracted the illness. Synagis is an immunization and a method of primary prevention.

Understanding RSV prevention involves how prophylaxis works and how infections spread. Synagis (palivizumab) is not a vaccine. It’s a monoclonal antibody given to certain high-risk infants during RSV season to provide passive immunity and help prevent severe RSV illness. It does not treat an illness once it has started, and it does not stop transmission from one child to others by itself. So saying that Synagis is an immunization and a method of primary prevention reveals a misconception about what this medication does and when it should be used. That misconception is what signals a teaching need about preventing RSV spread.

The other statements reflect appropriate infection-control practices: keeping an ill child away from others until recovered, ensuring everyone who interacts with the child washes their hands, and avoiding contact by ill people with healthy children. These are correct ways to reduce RSV transmission.

RSV is spread through direct contact with respiratory secretions, so it is a good idea to keep the ill child away from his brother until he has recovered.

RSV is spread through direct contact with respiratory secretions, so it's a good idea to have all people who come in contact with the child wash their hands.

RSV is spread through direct contact with respiratory secretions, so ill people avoid contact with the children until they are well.