A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?
Initiate contact precautions.
Initiate standard precautions.
Initiate airborne precautions.
Initiate droplet precautions.
The Correct Answer is D
Choice A: Contact precautions are not necessary for a child who has mumps, as mumps is not transmitted by direct or indirect contact with the infected person or their environment. Contact precautions are used for infections that are spread by contact with skin, wounds, body fluids, or contaminated surfaces.
Choice B: Standard precautions are always used for any patient care, regardless of their diagnosis or infection status. Standard precautions include hand hygiene, use of personal protective equipment (PPE), safe injection practices, and proper disposal of waste and sharps. However, standard precautions alone are not sufficient for a child who has mumps, as mumps are transmitted by respiratory droplets.
Choice C: Airborne precautions are not necessary for a child who has mumps, as mumps are not transmitted by small particles that remain suspended in the air and can be inhaled by others. Airborne precautions are used for infections that are spread by airborne transmission, such as tuberculosis, measles, or chickenpox.
Choice D: Droplet precautions are required for a child who has mumps, as mumps are transmitted by large respiratory droplets that are expelled when the infected person coughs, sneezes, or talks. Droplet precautions include wearing a surgical mask when within 3 feet of the patient, placing the patient in a private room or cohorts with other patients with the same infection, and limiting visitors and staff who are susceptible to the infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: This statement is correct, as the mother should notify the doctor if the child's temperature is not controlled with acetaminophen, which is an antipyretic and analgesic medication that can lower fever and relieve pain. A high fever can increase the child's metabolic rate and insulin requirements, which can lead to hyperglycemia or ketoacidosis.
Choice B: This statement is incorrect, as the mother should check the child's blood sugar more frequently than two times every day, especially when the child is sick. An upper respiratory infection can cause inflammation and stress hormones, which can increase the child's blood sugar levels and insulin needs. The mother should monitor the child's blood sugar at least four times a day or more often if indicated by symptoms or ketone testing.
Choice C: This statement is correct, as the mother should encourage the child to drink half a cup of water or sugar-free fluids every 30 minutes, which can prevent dehydration and flush out excess glucose and ketones from the body. Dehydration can worsen hyperglycemia and ketoacidosis, which are serious complications of diabetes.
Choice D: This statement is correct, as the mother should report a change in the child's breathing or any signs of confusion, which can indicate respiratory distress or cerebral edema. Respiratory distress can occur due to hypoxia or acidosis, which can impair oxygen delivery and carbon dioxide elimination. Cerebral edema can occur due to fluid shifts or electrolyte imbalances, which can cause increased intracranial pressure and neurological impairment.
Correct Answer is B
Explanation
Choice A: Cranberry juice is not a suitable fluid item to offer the child at this time, as it is acidic and can irritate the throat and cause pain or bleeding. Cranberry juice can also stain the surgical site and make it difficult to assess for signs of hemorrhage.
Choice B: Crushed ice is a suitable fluid item to offer the child at this time, as it is cold and can soothe the throat and
reduce swelling or inflammation. Crushed ice can also hydrate the child and prevent dehydration.
Choice C: Orange juice is not a suitable fluid item to offer the child at this time, as it is acidic and can irritate the throat and cause pain or bleeding. Orange juice can also interfere with the clotting process and increase the risk of hemorrhage.
Choice D: A strawberry milkshake is not a suitable fluid item to offer the child at this time, as it contains dairy products and can increase mucus production and cause coughing or gagging. A strawberry milkshake can also stain the surgical site and make it difficult to assess for signs of hemorrhage.
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