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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Time the episode. Correct. Timing the seizure is crucial because it helps determine the length and severity of the seizure, which is important for medical evaluation and treatment decisions.
B. Administer chlorothiazide. Chlorothiazide is a diuretic used for conditions like hypertension and edema, not for managing seizures. The correct medication for acute seizure management could be an anticonvulsant like diazepam or lorazepam.
C. Place the child in a prone position. Placing the child in a prone position can obstruct the airway and increase the risk of aspiration. The child should be placed in a side-lying position to maintain an open airway and prevent aspiration.
D. Hold the child down. Holding the child down can cause injury. The appropriate action is to ensure the child is safe from injury by moving objects away and cushioning the head, without restraining movements.
Correct Answer is D
Explanation
A. An adolescent who has a BP of 132/82 mm Hg: While on the higher end of normal for adolescents, it might not necessarily require immediate reporting unless there are other symptoms or a history of hypertension.
B. A 3-month-old infant who has a respiratory rate of 30/min: A respiratory rate of 30/min is within the normal range for a 3-month-old infant. Normal respiratory rates for infants typically range from 30 to 60 breaths per minute
C. A school-age child who has a rectal body temperature of 37.3° C (99.1° F): This is a low-grade fever and might not be a major concern in an otherwise healthy school-age child.
D. An 18-month-old toddler who has a heart rate of 68/min: A heart rate of 68/min is lower than the normal range for an 18-month-old toddler. Typically, the normal heart rate for toddlers ranges from about 80 to 130 beats per minute. A heart rate of 68/min could indicate bradycardia, which requires further assessment by a provider.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.