A nurse in a pediatric unit is caring for a group of clients. For which of the following diseases should the nurse implement droplet precautions?

A. The preschooler wears a medical identification bracelet: Wearing a medical ID bracelet is a safety measure that allows caregivers and healthcare professionals to respond appropriately during a seizure. No modification is needed for this practice.

B. The preschooler takes tub baths independently: Independent tub bathing poses a significant risk of injury or drowning if a seizure occurs during bathing. The nurse should recommend modifications, such as supervised showers or sponge baths, to ensure the child’s safety.

C. The preschooler sleeps in a bed with side rails: Using side rails can prevent falls from bed during a seizure. This is an appropriate safety measure and does not require modification.

D. The preschooler's mattress is waterproof: A waterproof mattress protects against injury from incontinence or vomiting during a seizure and is a suitable precaution that does not require modification

A. Homan's sign: Homan’s sign is assessed by dorsiflexing the foot to check for calf pain and is used to evaluate for deep vein thrombosis. It is not relevant for diagnosing or assessing meningitis.

B. Trousseau's sign: Trousseau’s sign involves inflating a blood pressure cuff to elicit carpal spasm and is used to assess for hypocalcemia. It is unrelated to meningitis assessment.

C. Brudzinski's sign: Brudzinski’s sign is assessed by flexing the client’s neck; involuntary hip and knee flexion indicates meningeal irritation. This is a classic and important clinical sign in clients with meningitis.

D. Chvostek's sign: Chvostek’s sign is elicited by tapping the facial nerve to assess for hypocalcemia. It is not associated with meningitis assessment and is not relevant in this context.