A nurse is assisting with the admission of a child who has pertussis. Which of the following actions should the nurse take?
Initiate droplet precautions.
Initiate a protective environment.
Initiate contact precautions.
Initiate airborne precautions.
The Correct Answer is A
A. Initiate droplet precautions. Pertussis (whooping cough) is transmitted via respiratory droplets. Droplet precautions are necessary to prevent the spread of the disease through coughs or sneezes.
B. Initiate a protective environment. A protective environment is used for patients with severe immunocompromised conditions to protect them from infections, not to prevent the spread of respiratory infections like pertussis.
C. Initiate contact precautions. Contact precautions are used for infections spread by direct or indirect contact with the patient or their environment, such as MRSA. Pertussis is spread by droplets, not by contact.
D. Initiate airborne precautions. Airborne precautions are for diseases that are spread through airborne particles, such as tuberculosis or measles. Pertussis is not airborne but spread through larger respiratory droplets.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Bring your infant into the clinic today to be seen." This is the appropriate response. Projectile vomiting can be a sign of pyloric stenosis, a condition that requires prompt medical evaluation and potential surgical intervention.
B. "You might want to try switching to a different formula." While switching formula might be considered for minor feeding issues, projectile vomiting is severe and warrants immediate medical attention rather than a dietary change.
C. "Give your infant an oral rehydration solution." Oral rehydration might be useful for dehydration, but it does not address the underlying cause of projectile vomiting, which needs to be diagnosed and treated by a healthcare professional.
D. "Burp your child more frequently during feedings." Although burping can help with mild spit-ups, projectile vomiting is a more serious symptom that requires medical evaluation rather than just a change in feeding practices.
Correct Answer is A
Explanation
A. Defining a sense of self: Adolescence is characterized by the search for identity and defining a sense of self. Erikson identifies this stage as "Identity vs. Role Confusion," where individuals explore and form their own identity separate from their family and childhood roles.
B. Learning to perform tasks independently: This is more typical of early childhood (Erikson's "Autonomy vs. Shame and Doubt"). During this stage, children are learning basic independence, such as dressing and feeding themselves.
C. Learning to use creative energies: This task is more relevant to the preschool age group (Erikson's "Initiative vs. Guilt"), where children engage in imaginative play and begin exploring their own ideas and creativity.
D. Building a sense of trust: Building a sense of trust is the primary task in infancy (Erikson's "Trust vs. Mistrust"), where infants develop trust in their caregivers and the world around them.
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