A nurse is planning care for an 8-month-old infant who has bronchiolitis. Which of the following actions should the nurse include in the plan of care?
Use a bulb syringe to suction the nares.
Initiate IV antibiotic therapy.
Administer a meningococcal vaccine upon admission.
Place the infant in a room with negative-pressure airflow.
The Correct Answer is A
Choice A reason: Using a bulb syringe to suction the nares is appropriate for an infant with bronchiolitis to help clear mucus and maintain airway patency, as bronchiolitis often causes nasal congestion.
Choice B reason: Initiating IV antibiotic therapy is not typically indicated for bronchiolitis, which is usually caused by a virus, and antibiotics are ineffective against viral infections.
Choice C reason: Administering a meningococcal vaccine upon admission is not related to the immediate care needs of an infant with bronchiolitis and is not part of standard treatment for this condition.
Choice D reason: Placing the infant in a room with negative-pressure airflow is not necessary for bronchiolitis, as this measure is reserved for airborne infections like tuberculosis, not for bronchiolitis which is spread through droplets.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Genital herpes simplex virus is a common sexually transmitted infection, but it is not nationally notifiable. It is managed with antiviral medications and patient education.
Choice B reason: Bacterial vaginosis is a condition caused by an imbalance of bacteria in the vagina and is not classified as a sexually transmitted infection. It is not nationally notifiable.
Choice C reason: Trichomoniasis is a sexually transmitted infection caused by a parasite. While it is common and treatable, it is not nationally notifiable.
Choice D reason: Gonorrhea is a sexually transmitted bacterial infection that is nationally notifiable. Public health departments track cases of gonorrhea to monitor and control outbreaks.
Choice E reason: Human papillomavirus (HPV) is the most common sexually transmitted infection and can lead to health problems like genital warts and cancers. However, it is not nationally notifiable.
Correct Answer is C
Explanation
Choice A reason: Using a bulb syringe to suction the nares is a common practice for clearing nasal passages in infants, but it is not the primary concern for an infant with a tracheostomy, which requires specific care to maintain airway patency.
Choice B reason: Providing antibiotic therapy may be necessary if there is an infection, but it is not a standard care action for a tracheostomy without evidence of infection.
Choice C reason: Administering intermittent suction via the tracheostomy is essential to clear secretions and maintain airway patency, which is the greatest risk for an infant with a tracheostomy.
Choice D reason: Placing an infant in a prone position to sleep is not recommended due to the increased risk of sudden infant death syndrome (SIDS). Infants should be placed on their backs to sleep.
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