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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Active psychiatric disorder: The presence of an active psychiatric disorder, such as depression or anxiety, is the most significant risk factor for suicide. Mental health disorders can severely affect an adolescent's emotional and psychological well-being, increasing the risk of suicidal thoughts and behaviors.
B. Availability of firearms: While access to firearms increases the risk of successful suicide, it is a secondary risk factor compared to the presence of a psychiatric disorder, which is more directly linked to the development of suicidal ideation.
C. Family conflict: Family conflict is a risk factor for emotional distress and can contribute to suicidal thoughts, but it is less significant than having an active psychiatric disorder, which directly impacts the adolescent's mental health.
D. Homosexuality: While LGBTQ+ youth are at higher risk for suicide due to factors like discrimination and lack of support, the presence of an active psychiatric disorder remains a more critical and direct risk factor for suicide.
Correct Answer is B
Explanation
A. Hepatitis B (HBV): The Hepatitis B vaccine is typically completed in the infant stage, and a 5-year-old with up-to-date vaccinations would not need a booster for school entry. This is not included in the pre-kindergarten vaccine schedule.
B. Measles, mumps, and rubella (MMR): The MMR vaccine is part of the pre-kindergarten immunization schedule. A second dose is recommended between ages 4 and 6 to ensure immunity before school entry.
C. Haemophilus influenzae type B (Hib): The Hib vaccine is typically administered to infants and young children, and a 5-year-old with up-to-date immunizations would already be fully vaccinated against Hib. No booster is required at this age.
D. Pneumococcal conjugate vaccine (PCV): The PCV vaccine series is usually completed in infancy, and a 5-year-old with current vaccinations would not require a booster. This vaccine is not part of the pre-kindergarten schedule.
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