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 A

Explanation

A. Troponin is a protein released into the bloodstream when there is damage to the heart muscle (myocardium), such as during a heart attack. Elevated troponin levels indicate myocardial injury or damage, making this the correct choice for indicating myocardial damage.

B. Erythrocyte sedimentation rate (ESR) measures the rate at which red blood cells settle in a tube of blood. It is a non-specific marker of inflammation and is not specific to myocardial damage.

C. Human B-type natriuretic peptide (BNP) is released by the heart in response to increased pressure and volume. Elevated levels are indicative of heart failure, not necessarily myocardial damage.

D. Activated partial thromboplastin time (aPTT) measures the time it takes for blood to clot. It is used to monitor the effectiveness of anticoagulant therapy and is not specific to myocardial

damage.

A. Blood pressure 156/90 mm Hg B. Pulse 54/min C. Potassium 5.2 mEq/L D. Sodium 130 mEq/L

Correct Answer is B

Explanation

A. While a blood pressure of 156/90 mm Hg may be elevated, it is not necessarily an indication to withhold propranolol, which is commonly used to treat hypertension.

B. A pulse rate of 54/min suggests bradycardia, which is a potential side effect of propranolol and may warrant withholding the medication.

C. A potassium level of 5.2 mEq/L is within the normal range (3.5-5.0 mEq/L) and is not typically a reason to withhold propranolol.

D. A sodium level of 130 mEq/L is within the normal range (135-145 mEq/L) and is not typically a reason to withhold propranolol.

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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

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