A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following actions should the nurse plan to take?

Wear an N95 respiratory mask while caring for the toddler.

Place the toddler in a room with negative air pressure.

Use a designated stethoscope when caring for the toddler.

Remove the disposable gown after leaving the toddler's room

Answer and Explanation

The Correct Answer is C

A. Wearing an N95 respiratory mask is not typically required for routine care of a toddler with respiratory syncytial virus unless performing procedures that generate aerosols.

B. Negative pressure rooms are generally reserved for patients with airborne infections like

tuberculosis; respiratory syncytial virus does not typically require isolation in a negative pressure room.

C. Using a designated stethoscope helps prevent the spread of infection to other patients by avoiding cross-contamination.

D. Removing the disposable gown after leaving the toddler's room is appropriate for maintaining infection control but is not specific to caring for a toddler with respiratory syncytial virus.

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Correct Answer is B

Explanation

A. The examination light of the ophthalmoscope should be directed toward the client's eye, not the client's face.

B. When examining the left eye, the nurse should stand on the right side of the client to facilitate proper alignment of the ophthalmoscope with the client's eye.

C. Dimming the lights in the room may improve visualization of the client's internal eye

structures, but it is not typically necessary for ophthalmoscopic examination and may hinder the nurse's ability to assess the client effectively.

D. Placing the ophthalmoscope directly against the client's forehead would not facilitate proper examination of the internal eye structures and may cause discomfort to the client.

A. The provider should renew the prescription for restraints every 48 hr. B. The nurse should pad the bony prominences. C. The nurse should tie the restraints using a square knot. D. The nurse should remove the restraints every 2 hr. E. The provider's prescription should include the type of restraint to use.

Correct Answer is ["B","D","E"]

Explanation

A. The provider should renew the prescription for restraints every 24 hours, not 48 hours.
B. Padding bony prominences helps prevent skin breakdown and pressure injuries.
C. Restraints should be tied using a quick-release knot, not a square knot, to allow for rapid removal in an emergency.
D. Removing the restraints every 2 hours allows for circulatory assessment, skin care, and range of motion exercises.
E. The provider's prescription should specify the type of restraint to ensure proper and appropriate use.

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A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's internal eye structures with an ophthalmoscope. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse manager is presenting information to the nursing staff regarding the appropriate use of client restraints. Which of the following should the nurse include? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

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