A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain scales should the nurse use to determine the infant's pain level?

Sure, let’s calculate the total fluid intake step by step.

Step 1: Convert ½ cup of juice to mL.

• 1 cup = 240 mL
• ½ cup = 240 mL ÷ 2 = 120 mL
• Result: 120 mL

Step 2: Convert 3 oz of gelatin to mL.

• 1 oz = 30 mL
• 3 oz = 3 × 30 mL = 90 mL
• Result: 90 mL

Step 3: Convert 1 oz of an ice pop to mL.

• 1 oz = 30 mL
• 1 oz = 30 mL
• Result: 30 mL

Step 4: Ginger ale is already in mL.

• Result: 20 mL

Step 5: Add all the mL values together.

• 120 mL (juice) + 90 mL (gelatin) + 30 mL (ice pop) + 20 mL (ginger ale) = 260 mL
• Result: 260 mL

The nurse should record the child’s fluid intake as 260 mL.

Choice A: Contact isolation is not appropriate for a child who has measles, which is a highly contagious viral infection that causes fever, rash, cough, runny nose, and red eyes. Contact isolation is used for patients who have infections that can be spread by direct or indirect contact with the patient or their environment, such as wound infections, scabies, or Clostridioides difficile. Contact isolation requires wearing gloves and gowns and using dedicated equipment.

Choice B: Airborne isolation is appropriate for a child who has measles, as it is used for patients who have infections that can be spread by small droplets that can remain suspended in the air and travel over long distances, such as tuberculosis, chickenpox, or measles. Airborne isolation requires wearing a respirator mask and placing the patient in a negative pressure room with the door closed.

Choice C: Protective environment isolation is not appropriate for a child who has measles, as it is used for patients who have compromised immune systems and are at high risk of acquiring infections from others, such as transplant recipients, cancer patients, or patients receiving immunosuppressive therapy. Protective environment isolation requires wearing gloves, gowns, masks, and eye protection and placing the patient in a positive pressure room with high-efficiency particulate air (HEPA) filters.

Choice D: Droplet isolation is not appropriate for a child who has measles, as it is used for patients who have infections that can be spread by large droplets that can travel up to 6 feet from the source, such as influenza, pertussis, or meningitis. Droplet isolation requires wearing a surgical mask and eye protection and placing the patient in a private room or cohorting with other patients with the same infection.