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A nurse is assisting with the care of several clients. The nurse should identify that which of the following client conditions requires contact precautions?

A.

Hemophilus influenzae

B.

Streptococcal pharyngitis

C.

Clostridium difficile

D.

Mycoplasma pneumoniae

Answer and Explanation

The Correct Answer is C

A. Hemophilus influenzae, which causes respiratory infections, generally requires droplet precautions, not contact precautions. 

B. Streptococcal pharyngitis is also typically managed with droplet precautions, not contact precautions. 

C. Clostridium difficile (C. diff) is a bacterial infection that causes severe diarrhea and gastrointestinal symptoms. It is spread through direct contact with contaminated surfaces or equipment, so contact precautions are necessary to prevent transmission. 

D. Mycoplasma pneumoniae, which causes respiratory infections, requires droplet precautions, not contact precautions.


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Related Questions

Correct Answer is C

Explanation

A. Neomycin is not a contraindication to the influenza vaccine. However, if a person has a known neomycin allergy, they should avoid specific vaccines containing neomycin, but this is not typically a concern with the influenza vaccine.

B. Gluten allergies are not a contraindication for the influenza vaccine. Gluten is not an ingredient in most influenza vaccines, so a gluten allergy would not impact vaccine administration.

C. The influenza vaccine contains trace amounts of egg proteins, and individuals who have had a severe allergic reaction (anaphylaxis) to eggs should not receive this vaccine, or they should receive it under close supervision with appropriate precautions. This is because egg-based production methods of the vaccine may pose a risk.

D. Gelatin is a common ingredient in some vaccines, but a gelatin allergy is not typically a contraindication for the influenza vaccine. However, if a child has a severe allergic reaction to gelatin, caution would be taken in administering the vaccine.

Correct Answer is D

Explanation

A. Barrel chest is not a typical finding in RSV. It is more commonly associated with chronic respiratory conditions, such as chronic obstructive pulmonary disease (COPD) or cystic fibrosis.

B. Clubbing of the fingers is usually seen in chronic respiratory conditions like cystic fibrosis, but it is not a typical manifestation of RSV, which is usually acute.

C. Vesicles on the trunk are characteristic of viral infections such as chickenpox, not RSV. RSV primarily affects the respiratory system, causing symptoms like wheezing and coughing.

D. Rhinorrhea, or a runny nose, is a common early symptom of RSV. RSV often starts with cold-like symptoms, including nasal congestion, rhinorrhea, and cough, before progressing to more severe respiratory distress.

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