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. Store opened vials of insulin for up to 60 days. Incorrect. Opened vials of insulin should typically be stored at room temperature and used within 28 days. Storing insulin for up to 60 days is not recommended as it may lose potency.
B. Monitor capillary blood glucose daily. Incorrect. Capillary blood glucose should be monitored multiple times a day (e.g., before meals and at bedtime) to manage type 1 diabetes effectively. Daily monitoring is insufficient for proper diabetes management.
C. Follow up with physical therapy. Incorrect. While exercise is important, a routine follow-up with physical therapy is not a standard recommendation for managing type 1 diabetes unless there are specific physical issues that need addressing.
D. Consult with a nutritionist. Correct. A nutritionist can provide valuable education on carbohydrate counting, meal planning, and managing blood sugar levels through diet. This is essential for adolescents newly diagnosed with type 1 diabetes to help them manage their condition effectively.
Correct Answer is D
Explanation
A. Hematemesis (vomiting blood): Hematemesis (vomiting blood) is not typically associated with celiac disease. It is more commonly seen in conditions like gastrointestinal bleeding, ulcers, or esophageal varices.
B. Increased hemoglobin level: Celiac disease can lead to malabsorption of nutrients, including iron, which often results in anemia and decreased hemoglobin levels rather than increased hemoglobin levels.
C. Redcurrant, jelly-like stools: Redcurrant jelly-like stools are characteristic of intussusception, not celiac disease. Intussusception is a condition where part of the intestine folds into another section, leading to obstruction and characteristic stools.
D. Pale, oily stools: Pale, oily (steatorrhea) stools are a common finding in celiac disease. This is due to malabsorption of fats caused by damage to the small intestine's lining, leading to the excretion of undigested fats in the stool.
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