The nurse-manager of a pediatric unit needs to assign a room for a 6-month-old diagnosed with respiratory syncytial virus (RSV). Which room assignment is best for the nurse-manager to make?
Double room with a 4-month-old who has RSV.
Private room with negative air pressure.
Private room furthest from the nurses station.
Double room with a 6-month-old on droplet precautions.
The Correct Answer is A
- A: Placing the 6-month-old with RSV in a double room with a 4-month-old who also has RSV is appropriate because they have the same infection, which reduces the risk of cross-infection with other pathogens. Cohorting patients with the same infectious disease is a common practice to prevent the spread to other patients.
- B: A private room with negative air pressure is typically used for patients who have airborne infections, which require a higher level of isolation to prevent the spread of diseases that are transmitted through the air. RSV is primarily spread through close contact and droplets, not through the air.
- C: A private room furthest from the nurse's station would not be ideal as it could delay care and observation for a young infant with a serious respiratory infection. Proximity to the nursing staff ensures prompt attention if the infant's condition changes.
- D: A double room with a 6-month-old on droplet precautions is not the best choice because it poses a risk of transmitting RSV to the other infant, who may not have RSV, leading to potential complications and further spread of infection within the unit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: The client's statement reflects an understanding of the DASH diet's emphasis on lean meats, nuts, and dried beans as protein sources, which aligns with the principles of the diet.
Choice B: The DASH diet encourages the consumption of more than 4 to 6 servings of fruits and vegetables daily.
Choice C: The DASH diet does not eliminate dairy-based products but recommends choosing low-fat or fat-free options.
Choice D: The DASH diet does not focus on gluten-free foods but rather on overall dietary patterns that promote heart-healthy eating.
Correct Answer is C
Explanation
Choice A: Partnering with a major pharmaceutical company to provide nebulizers at reduced cost to inner-city children is an example of a secondary prevention strategy aimed at managing asthma symptoms and exacerbations. It does not address primary prevention, which focuses on preventing the development of the condition in the first place.
Choice B: Offering free asthma screening to children at a health fair is a secondary prevention strategy aimed at early detection and management of existing asthma cases. It does not address primary prevention.
Choice C: Informing the city council of the need to strengthen the city's air pollution ordinances is a primary prevention strategy. It aims to address environmental factors (such as air pollution) that can contribute to the development of asthma in children. By reducing exposure to environmental triggers, the goal is to prevent new cases of asthma from occurring.
Choice D: Referring parents of preschoolers with asthma to a support group sponsored by the American Lung Association is a secondary prevention strategy aimed at providing support and education to
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