A nurse is assisting with the care of several clients. The nurse should identify that which of the following client conditions requires contact precautions?
Hemophilus influenzae
Streptococcal pharyngitis
Clostridium difficile
Mycoplasma pneumoniae
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Weight above the 10th percentile would not be expected in an infant with failure to thrive. Infants with failure to thrive typically exhibit weight below the 5th percentile due to insufficient caloric intake or absorption.
B. Making eye contact with others is a normal developmental milestone at 11 months and would not be expected to be impaired in a child with failure to thrive.
C. Poor muscle tone is a common finding in infants with failure to thrive, as malnutrition and inadequate nourishment can affect the development of muscle strength and coordination.
D. Stranger anxiety is a typical developmental stage at 11 months, but it is not associated with failure to thrive. Infants with failure to thrive may exhibit developmental delays, but stranger anxiety is not a primary concern.
Correct Answer is D
Explanation
A. Using a dime-sized amount of the medication is not the recommended instruction for tretinoin. A small, pea-sized amount is typically advised to avoid irritation and overuse.
B. Tretinoin should be applied at night, not in the morning, as it increases sensitivity to sunlight and can cause irritation when exposed to sunlight.
C. It is generally recommended to wait 20-30 minutes after washing the face before applying tretinoin, not just 5 minutes. This allows the skin to dry completely, reducing irritation.
D. Tretinoin can cause skin sensitivity, making the skin more prone to sunburn. Using a sunscreen with SPF 15 or higher is crucial to protect the skin from harmful UV rays while using tretinoin.
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