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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Using a pacifier dipped in an oral sucrose solution can help provide comfort and alleviate pain during the procedure, making it a suitable option for blood specimen collection in preschoolers.
Choice B reason:
Applying a eutectic mixture of local anesthetics cream may not be the most appropriate option for blood specimen collection in preschoolers, as it may not provide sufficient pain relief for the procedure.
Choice C reason:
Kangaroo care involves skin-to-skin contact between an infant and a parent, which is beneficial for bonding and comfort but may not be directly applicable to a blood specimen collection procedure.
Choice D reason:
Placing the infant in a prone position for sleeping is not related to blood specimen collection and may not be appropriate immediately postoperatively.
Correct Answer is B
Explanation
Choice A reason:
Placing a folded blanket to pad the back of the infant's head is not recommended, as it can interfere with the proper fit of the car seat harness and potentially be a safety hazard.
Choice B reason:
This statement is correct. Infant car seats should be positioned at a 30-degree angle to provide optimal support for the infant's head and neck, as well as to prevent airway obstruction.
Choice C reason:
While car seats with a four-point harness do exist, a standard infant car seat typically has a five- point harness system.
Choice D reason:
The retainer clip should be positioned at the level of the infant's armpits to ensure that the harness is snug and secure.
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