A nurse is reinforcing teaching about home safety with the parent of an 8-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse collecting data from a client who has hepatitis A should expect to find that the client may have abdominal pain. Hepatitis A is a liver infection that can cause inflammation and discomfort in the abdomen.

The other options are not typical symptoms of hepatitis

a)Splenomegaly is an enlargement of the spleen and is not a typical symptom of hepatitis A.

c) An irregular heart rateis not a typical symptom of hepatitis A.

d) Tarry stools may indicate bleeding in the digestive tract and is not a typical symptom of hepatitis A.

The correct answer is Choice C.

Choice A rationale:

• While maintaining a distance of 3 feet can reduce the risk of direct contact transmission, it is not the most effective measure for contact isolation precautions.
• Contact isolation aims to prevent the spread of pathogens that can be transmitted through direct or indirect contact with the infected person or contaminated objects.
• A distance of 3 feet may not be sufficient to prevent transmission via droplets or fomites (inanimate objects that can harbor infectious agents).

Choice B rationale:

• Sterile gloves are not routinely required for contact isolation precautions.
• They are primarily used for sterile procedures or when there is a risk of exposure to blood or body fluids.
• For contact isolation, standard clean gloves are usually sufficient to protect against transmission via direct contact.

Choice C rationale:

• Leaving equipment that is used routinely in the client's room is a crucial part of contact isolation precautions.
• This practice prevents the spread of infection by minimizing the movement of potentially contaminated items outside of the isolation room.
• Equipment like stethoscopes, blood pressure cuffs, and thermometers should be dedicated to the client's use and not shared with other patients.

Choice D rationale:

• Negative-pressure airflow rooms are used for airborne isolation precautions, which are designed to prevent the spread of pathogens that can be transmitted through the air.
• Contact isolation does not specifically require a negative-pressure room, as the primary mode of transmission is through direct or indirect contact, not airborne particles.