A nurse is planning care for a child who has mumps.
Which of the following instructions should the nurse include in the plan?
Initiate airborne precautions.
Initiate standard precautions.
Initiate droplet precautions.
Initiate contact precautions.
The Correct Answer is C
The correct answer is Choice C.
Choice A rationale
Airborne precautions are not necessary for mumps. Mumps is not transmitted through airborne particles.
Choice B rationale
Standard precautions are not sufficient for mumps. Mumps requires additional precautions to prevent transmission.
Choice C rationale
Droplet precautions are necessary for mumps. Mumps is transmitted through respiratory droplets, so droplet precautions help prevent the spread of the virus.
Choice D rationale
Contact precautions are not necessary for mumps. Mumps is not transmitted through direct contact with contaminated surfaces.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice A.
Choice A rationale
Testing the urine for ketones is essential for managing type 1 diabetes, especially during illness. Ketones are produced when the body breaks down fat for energy due to insufficient insulin. High levels of ketones can lead to diabetic ketoacidosis, a serious condition that requires immediate medical attention.
Choice B rationale
While notifying the provider if blood glucose levels are over 350 mg/dL is important, it is not the most immediate action required during illness management. High blood glucose levels can indicate poor diabetes control, but ketone testing is more critical during illness to prevent ketoacidosis.
Choice C rationale
Withholding insulin when feeling nauseous is incorrect. Insulin should not be withheld during illness, as blood glucose levels can increase due to stress or infection. Continuing insulin administration is crucial to prevent hyperglycemia and ketoacidosis.
Choice D rationale
Limiting fluid intake during mealtime is not recommended. Proper hydration is essential for overall health and helps manage blood glucose levels. Fluids should be consumed as needed, especially during illness.
Correct Answer is A
Explanation
The correct answer is Choice A.
Choice A rationale
Placing the child in a knee-chest position helps increase systemic vascular resistance, which reduces the right-to-left shunt and improves oxygenation during a cyanotic spell in children with Tetralogy of Fallot.
Choice B rationale
Having the child lie supine with the head turned to one side does not help in managing a cyanotic spell and may not improve oxygenation.
Choice C rationale
Lying prone does not specifically address the cyanotic spell and may not be the most effective position for improving oxygenation.
Choice D rationale
Placing the child in a semi-Fowler’s position in an infant seat does not specifically address the cyanotic spell and may not be the most effective position for improving oxygenation.
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