A nurse in a pediatric intensive care unit is admitting a toddler who has bacterial meningitis. Which of the following isolation precautions should the nurse implement?
Airborne
Protective environment
Contact
Droplet
The Correct Answer is D
A. Airborne precautions are used for diseases that spread through airborne particles, such as tuberculosis and varicella, not bacterial meningitis.
B. Protective environment precautions are used for clients with severely compromised immune systems, not for preventing the spread of bacterial meningitis.
C. Contact: Contact precautions are used for infections spread by direct contact with the patient or their environment, such as MRSA or C. difficile, not bacterial meningitis.
D. Droplet: This is correct. Droplet precautions are required for bacterial meningitis as it spreads through large respiratory droplets.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hold sterile supplies 7.6 cm (3 in) above the sterile field. Sterile supplies should be held at least 15-20 cm (6-8 inches) above the sterile field to avoid contamination.
B. Drop sterile objects toward the center of the sterile field. This minimizes the risk of contamination by keeping the edges of the field sterile.
C. Open the first flap of the sterile tray packaging toward himself. The first flap should be opened away from the nurse to avoid reaching over the sterile field.
D. Hold bottles of sterile fluid with the label facing outward. The label should face inward (toward the nurse) to protect it from spills and ensure visibility of the label.
Correct Answer is B
Explanation
A. "Reward your toddler with a sticker for staying in the car seat during car rides." While positive reinforcement is important for encouraging desired behavior, it’s not directly related to car seat safety. The focus should be on proper restraint and minimizing distractions.
B. "Discourage your toddler from holding stuffed animals while in the car seatHolding stuffed animals or other objects can interfere with the proper fit and function of the car seat harness, potentially compromising safety during car rides. Encourage parents to keep the car seat area free from distractions and ensure that the harness fits snugly across the child’s shoulders and chest.
C. "Pad the shoulder harness with a cloth diaper to prevent irritation." Adding padding to the shoulder harness is not recommended as it can interfere with the proper fit and function of the car seat harness, potentially compromising safety.
D. "Start the car and keep it in park until your toddler is restrained in the car seat." This is unsafe. The car should never be started until all occupants are properly restrained.
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