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?
Follows airborne precautions by wearing an N95 respirator while caring for the child
Maintains droplet precautions while the child is coughing and sneezing
Wears gloves when assisting the child to the bathroom
Applies a face mask after entering the child's room
The Correct Answer is B
A. Follows airborne precautions by wearing an N95 respirator while caring for the child: Pertussis requires droplet precautions, not airborne precautions. An N95 respirator is not necessary.
B. Maintains droplet precautions while the child is coughing and sneezing: Correct. Droplet precautions are appropriate for pertussis, which is spread through respiratory droplets. These precautions help prevent the transmission of the infection.
C. Wears gloves when assisting the child to the bathroom: While wearing gloves is a standard precaution, it does not specifically address the droplet transmission route of pertussis. Gloves alone are not sufficient for preventing the spread of pertussis.
D. Applies a face mask after entering the child's room: The face mask should be applied before entering the room to ensure the nurse is protected from respiratory droplets immediately upon entry.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sausage-shaped mass in the upper right abdomen A sausage-shaped mass in the upper right abdomen is indicative of intussusception, not celiac disease.
B. Red-currant, jelly-like stools: Red-currant, jelly-like stools are characteristic of intussusception, not celiac disease.
C. Hematemesis: Hematemesis (vomiting blood) is not a typical symptom of celiac disease. It is more commonly associated with conditions involving gastrointestinal bleeding such as esophageal varices or severe gastritis.
D. Steatorrhea: Steatorrhea (fatty stools) is a common finding in celiac disease due to malabsorption of fats in the intestine. The inability to digest and absorb fat leads to pale, foul-smelling, and bulky stools.
Correct Answer is D
Explanation
A. "Your child might need to have their tonsils and adenoids removed." Removal of tonsils and adenoids is not typically related to cystic fibrosis management. This statement is not accurate in the context of cystic fibrosis home care.
B. "Your child will take isoniazid for 9 months." Isoniazid is used for the treatment or prevention of tuberculosis, not cystic fibrosis. This statement is not relevant to cystic fibrosis.
C. "Your child will have chest x-rays periodically to monitor for disease reactivation." Periodic chest x-rays are more commonly used to monitor lung infections and complications in cystic fibrosis patients, not specifically for disease reactivation.
D. "Your child should take pancreatic enzymes with meals and snacks." Children with cystic fibrosis often have pancreatic insufficiency, requiring pancreatic enzyme supplements with meals and snacks to aid digestion and nutrient absorption.
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