A nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?

Respiratory

Airborne

Bleeding

Contact

Answer and Explanation

The Correct Answer is C

A. Respiratory precautions are necessary for preventing the spread of respiratory infections but are not specifically indicated here.

B. Airborne precautions are required for diseases transmitted through the air (e.g., TB), not relevant in this scenario.

C. Bleeding precautions should be initiated due to the critically low platelet count, as this increases the risk of bleeding complications. Nurses should be vigilant in monitoring for signs of bleeding and minimizing invasive procedures.

D. Contact precautions are important for preventing the spread of infections, but in this case, the primary concern is bleeding due to low platelet counts.

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Correct Answer is D

Explanation

A. Back pain may occur but is not typically urgent unless severe; it’s important to monitor but not the priority.

B. Frequent nosebleeds can occur due to dry mucous membranes but are not the most critical symptom to report immediately.

C. Itching of the skin can be managed with moisturizers and does not represent a medical emergency.

D. Feelings of isolation and depression are serious side effects associated with isotretinoin and should be reported immediately due to the risk of self-harm or suicidal thoughts.

A. Encourage frequent fluids by mouth B. Encourage frequent voiding C. Wipe perineal area front to back D. Wear nylon underwear E. Complete the course of prescribed antibiotics

Correct Answer is ["A","B","C","E"]

Explanation

A. Encouraging frequent fluid intake helps to dilute the urine and promotes urination, which can help flush out bacteria.

B. Frequent voiding is essential to reduce the risk of bacterial growth in the bladder and to alleviate symptoms.

C. Wiping from front to back is important in preventing the spread of bacteria from the rectal area to the urethra, thereby reducing the risk of UTIs.

D. Wearing nylon underwear may trap moisture and create an environment conducive to bacterial growth; cotton underwear is preferred.

E. Completing the course of antibiotics is crucial for fully eradicating the infection and preventing recurrence.

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A nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is ["A","B","C","E"]

Explanation

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