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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Passing flatus every 30 minutes indicates bowel activity and suggests that the child may be able to resume oral intake.
B. Absent bowel sounds indicate a lack of gastrointestinal function, which supports the continuation of NPO status until bowel function returns.
C. An increase in abdominal girth, even by 1 cm, can be concerning postoperatively and may indicate fluid retention or other issues, warranting further assessment.
D. Pain at the operative site is expected post-surgery, but it does not directly relate to the child’s ability to resume oral intake.
Correct Answer is B
Explanation
A. While prophylactic antibiotics may be considered, they are not standard for all procedures in hemophilia management.
B. Recombinant factor VIII is essential to ensure adequate clotting during and after the extraction, minimizing the risk of bleeding complications.
C. Packed RBCs may be needed for severe anemia but are not a standard preventive measure for hemophilia management during dental procedures.
D. Fresh frozen plasma can provide clotting factors but is not the preferred treatment for hemophilia A, where specific factor VIII replacement is needed.
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