A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
A preschool-age child who has pediculosis capitis
A school-age child who has viral conjunctivitis
A toddler who has seasonal influenza
An adolescent who has hepatitis A
The Correct Answer is C
A. Pediculosis capitis (head lice) does not require droplet precautions.
B. Viral conjunctivitis is typically transmitted through contact precautions rather than droplet precautions.
C. Correct. Seasonal influenza is transmitted via respiratory droplets, necessitating droplet precautions to prevent transmission.
D. Hepatitis A is transmitted via the fecal-oral route and does not require droplet precautions.
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Related Questions
Correct Answer is D
Explanation
A. Kyphosis, an excessive outward curvature of the spine, may be a complication of sickle cell disease but is not typically considered a priority over acute neurological symptoms.
B. Constipation is a common symptom in sickle cell disease due to vaso-occlusive events, but it is not an acute concern unless severe or accompanied by other symptoms.
C. Enuresis, or bedwetting, may occur in children with sickle cell disease due to changes in renal function but is not typically considered a priority over acute neurological symptoms.
D. Facial twitching could be indicative of a seizure or other neurological complication, which is a serious concern requiring immediate attention, especially in a child with sickle cell disease who may be at increased risk for neurological complications due to the increased risk of stroke. Therefore, it is the priority finding to report to the provider.
Correct Answer is C
Explanation
A. Visual analog scales may not be appropriate for toddlers who are cognitively impaired and unable to understand abstract concepts.
B. FACES pain scale relies on the child's ability to express emotions through facial expressions, which may be limited in cognitively impaired toddlers.
C. FLACC (Face, Legs, Activity, Cry, Consolability) pain scale is a validated tool for assessing pain in young children, including those who are cognitively impaired.
D. CRIES pain scale is typically used for neonates and infants up to 6 months of age and may not be suitable for toddlers.
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