A charge nurse is observing a staff nurse who is caring for a child who has pertussis.
Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Maintains droplet precautions while the child is coughing and sneezing
Applies a face mask after entering the child's room
Wears gloves when assisting the child to the bathroom
Follows airborne precautions by wearing an N95 respirator while caring for the child
The Correct Answer is A
Rationale:
A. Maintaining droplet precautions while the child is coughing and sneezing is appropriate because pertussis is primarily transmitted via respiratory droplets. Droplet precautions include wearing a surgical mask when within 3 feet of the patient to prevent droplet transmission.
B. Applying a face mask after entering the child's room is not necessary if droplet precautions are already being followed during periods of coughing and sneezing.
C. Wearing gloves when assisting the child to the bathroom is not directly related to preventing the spread of pertussis, which is primarily transmitted via respiratory droplets.
D. Airborne precautions with an N95 respirator are not indicated for pertussis, as it is not transmitted via airborne particles.
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Related Questions
Correct Answer is ["A","B","D","F","G"]
Explanation
Rationale:
A. Cutting and filing the child's fingernails frequently can help prevent further damage from scratching and reduce the risk of infection.
B. Using a mild detergent for the child's laundry can help minimize irritation to the skin.
C. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns.
D. Informing the guardian that the child will experience occasional flare-ups of the condition helps manage expectations and prepares them for potential recurrence.
E. Atopic dermatitis is not typically contagious, so the statement that the child's condition is contagious when lesions are present is inaccurate.
F. Applying gloves to the child's hands can prevent scratching and further damage to the skin.
G. Applying emollients to the child's skin after bathing helps maintain skin hydration and barrier function, reducing the severity of atopic dermatitis symptoms.
Correct Answer is A
Explanation
Rationale:
A. Providing for periods of rest is important to conserve energy in children with heart failure.
B. Increasing the oxygen flow rate until cyanosis resolves may not be appropriate without medical guidance.
C. Digoxin should not be withheld without consulting the healthcare provider. It is essential to follow the prescribed regimen and contact the provider if there are concerns about the child's pulse rate.
D. Weighing the child once each month may not be frequent enough for monitoring fluid status in a child with heart failure. More frequent weight monitoring may be necessary as per the healthcare provider's recommendations.
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