A nurse is contributing to the plan of care for a group of newly admitted pediatric clients.For which of the following clients should the nurse recommend initiating contact precautions?
An adolescent who has pneumonia
A preschooler who has tuberculosis
A school-age child who has Haemophilus influenzae type B disease
An infant who has respiratory syncytial virus
The Correct Answer is B
Choice A reason:
Pneumonia is typically transmitted through respiratory droplets, and standard precautions are sufficient for preventing its spread.
Choice B reason:
Correct. Tuberculosis (TB) is an infectious disease that requires contact precautions. This helps prevent the spread of Mycobacterium tuberculosis, the bacteria that cause TB.
Choice C reason:
Haemophilus influenzae type B disease is primarily transmitted through respiratory droplets, so standard precautions are generally sufficient.
Choice D reason:
Respiratory syncytial virus (RSV) is primarily transmitted through respiratory droplets, so standard precautions are generally sufficient. However, in some cases, droplet precautions may be recommended for infants and young children with severe RSV infections.
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Related Questions
Correct Answer is B
Explanation
Choice A reason:
Biting behavior in a 15-month-old child is developmentally appropriate and not indicative of child maltreatment.
Choice B reason:
Correct. A fracture resulting from a bicycle injury may raise concerns about the child's safety and supervision, and it should be reported for further evaluation.
Choice C reason:
A history of frequent urinary tract infections is a medical concern but does not necessarily indicate child maltreatment.
Choice D reason:
Small bruises on the shins are common in toddlers and are typically the result of normal play and exploration. They are not necessarily indicative of child maltreatment.
Correct Answer is D
Explanation
Choice A reason:
While an oatmeal bath can provide relief from itching, it is not the first step in treating poison ivy exposure. The immediate priority is to remove the plant oils from the skin.
Choice B reason:
Administering an oral corticosteroid may be indicated for severe cases of poison ivy, but it is not the initial step. Removing the plant oils from the skin is the first priority.
Choice C reason:
Applying calamine lotion can help soothe itching, but it is not the first action to take. The priority is to remove any remaining plant oils from the skin.
Choice D reason:
The first action the nurse should take is to remove any remaining plant oils from the skin by flushing the affected area with cold, running water. This helps to prevent further absorption of the irritant.
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