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 195 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
The Correct Answer is C
A. Wear an N95 respiratory mask while caring for the toddler: RSV is transmitted via droplet and direct contact, not airborne particles. An N95 mask is not required; a standard surgical mask is sufficient when indicated. Using an N95 would be unnecessary and does not align with standard RSV precautions.
B. Place the toddler in a room with negative air pressure: Negative pressure rooms are reserved for airborne infections, such as tuberculosis or measles. RSV does not require airborne isolation, so a standard private room with contact and droplet precautions is appropriate.
C. Use a designated stethoscope when caring for the toddler: RSV spreads via direct contact and contaminated surfaces. Using a stethoscope dedicated to the infected child helps prevent transmission to other clients, aligning with contact precaution protocols and reducing the risk of cross-contamination.
D. Remove the disposable gown after leaving the toddler's room: Gowns should be removed before leaving the room, not after, to prevent contamination of other areas. Removing the gown inside the room maintains infection control.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "If I stop abruptly, I can't use a nicotine replacement.": Nicotine replacement therapy can be used whether a client quits abruptly (cold turkey) or gradually. This statement reflects a misunderstanding of cessation strategies.
B. "After 6 months, my risk of heart disease is the same as that of a nonsmoker.": Risk of heart disease decreases after quitting smoking but does not equal that of a nonsmoker after only 6 months; it takes years for risk to approach baseline levels.
C. "I will set a specific date to stop smoking.": Establishing a concrete quit date is a key strategy in smoking cessation. It helps the client prepare mentally, set goals, and increase the likelihood of successful cessation.
D. "I will use high-carbohydrate snacks as a substitute for cigarettes.": Replacing cigarettes with high-calorie snacks can lead to weight gain. Healthier alternatives, such as sugar-free gum or low-calorie snacks, are recommended.
Correct Answer is B
Explanation
A. Schedule routine oral suctioning: Suctioning can increase intracranial pressure and should be performed only when necessary, using short, gentle passes. Routine suctioning is not recommended for a child with increased ICP, as it can exacerbate neurological injury.
B. Pad the side rails of the bed: An unresponsive child is at high risk for injury from involuntary movements or seizures. Padding the side rails helps prevent trauma and is a key safety intervention in children with increased intracranial pressure, making it the priority action in this scenario.
C. Obtain isolation supplies: Isolation precautions are only needed if the child has a contagious condition. Increased intracranial pressure does not automatically indicate a risk of infection transmission, so isolation supplies are not immediately necessary.
D. Place the child in Trendelenburg position: Trendelenburg positioning (head-down) can further increase intracranial pressure and is contraindicated. Children with elevated ICP should be positioned with the head of the bed elevated to promote venous drainage and reduce pressure.
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