A nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?

Respiratory

Airborne

Bleeding

Contact

Answer and Explanation

The Correct Answer is C

A. Respiratory precautions are necessary for preventing the spread of respiratory infections but are not specifically indicated here.

B. Airborne precautions are required for diseases transmitted through the air (e.g., TB), not relevant in this scenario.

C. Bleeding precautions should be initiated due to the critically low platelet count, as this increases the risk of bleeding complications. Nurses should be vigilant in monitoring for signs of bleeding and minimizing invasive procedures.

D. Contact precautions are important for preventing the spread of infections, but in this case, the primary concern is bleeding due to low platelet counts.

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Free Nursing Study Resources

Correct Answer is ["A","B","D","E"]

Explanation

A. Washing hands frequently is important for preventing infections, which can trigger a sickle cell crisis.

B. Cold weather can cause blood vessels to constrict, increasing the risk of a sickle cell crisis, making this statement correct.

C. Restricting fluids during illness is not advisable; staying hydrated is crucial for preventing sickle cell crises.

D. Carrying a water bottle encourages adequate hydration, which is essential for individuals with sickle cell anemia to help prevent crises.

E. Taking medications as directed is vital for managing sickle cell disease and preventing complications.

A. I will remind my child to wash their hands well and frequently B. I will remind my child not to touch their face while the rash is present C. I will give my child a separate towel from other family members D. I will fill a prescription for antiviral ointment to apply to the rash

Correct Answer is D

Explanation

A. Encouraging handwashing is important to prevent spreading infection and shows understanding of hygiene practices.

B. Advising the child not to touch their face is important to prevent secondary infections and spread of the rash.

C. Providing a separate towel helps prevent the spread of infection, demonstrating good understanding of precautions.

D. Filling a prescription for antiviral ointment is inappropriate in this case; the honey-crusted plaques suggest impetigo, which is typically treated with topical or oral antibiotics, not antiviral ointment.

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A nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurses reviewing triggers of sickle cell crisis with a 14-year-old male client with sickle cell anemia. Which statement by the client indicates an understanding of the teaching? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

A 6 year old child presents to the pediatric clinic with vesicular rash and honey crusted plaques around the nose and mouth. Which of the following statements by the parent indicates the need for further teaching?

Correct Answer is D

Explanation

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