A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of isolation precautions should the nurse initiate?
Contact
Airborne
Protective environment
Droplet
The Correct Answer is D
A. Contact precautions are used for infections transmitted by direct or indirect contact with the client or their environment. Examples include MRSA, C. difficile, and other multidrug-resistant organisms.
B. Airborne precautions are used for infections transmitted by small droplets that remain suspended in the air and can be inhaled. Examples include tuberculosis (TB), measles, and chickenpox (varicella).
C. Protective environment precautions are typically used for clients with compromised immune systems, such as those undergoing stem cell transplants, to protect them from environmental pathogens.
D. Droplet precautions are used for infections transmitted by large respiratory droplets that can travel up to approximately 3 feet. Examples include bacterial meningitis, influenza, and pertussis. Therefore, the nurse should initiate droplet precautions for the school-age child with bacterial meningitis.
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Related Questions
Correct Answer is B
Explanation
A. Hepatitis A - Hepatitis A vaccine is typically administered in two doses, with the first dose given at 12-23 months of age. It is not routinely given at 2 months of age.
B. Rotavirus - Rotavirus vaccine is recommended for administration at 2 months of age, with subsequent doses given at 4 and 6 months. It helps protect against rotavirus infection, a common cause of severe diarrhea in infants and young children.
C. Influenza - Influenza vaccine is usually not administered until 6 months of age. Infants younger than 6 months are considered too young to receive the influenza vaccine.
D. Varicella - Varicella (chickenpox) vaccine is typically given in two doses, with the first dose recommended at 12-15 months of age. It is not routinely administered at 2 months of age.
Correct Answer is D
Explanation
A. Wire cutters:
Wire cutters are typically not necessary for postoperative care following a thoracotomy with chest tube placement. They are more commonly used in situations such as removing orthopedic hardware or cutting wires in emergency situations. Therefore, wire cutters are not essential equipment for this particular procedure.
B. Montgomery straps:
Montgomery straps are adhesive strips used to secure dressings or bandages without the need for tape. While they can be useful in some postoperative situations, they are not specifically required for a thoracotomy with chest tube placement.
C. Tracheostomy tray:
A tracheostomy tray contains equipment necessary for performing tracheostomy care, such as sterile gloves, tracheostomy tubes, and suctioning equipment. It is not directly related to thoracotomy or chest tube care post op.
D. Padded clamp:
A padded clamp, or chest tube holder, is a device used to secure chest tubes in place and prevent them from being accidentally dislodged. It is an essential piece of equipment for postoperative care following a thoracotomy with chest tube placement, as it helps maintain the integrity of the chest tubes and prevents complications such as air leaks or pneumothorax.
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