A nurse is assisting with the admission of a child who has pertussis. Which of the following actions should the nurse take?

Initiate droplet precautions.

Initiate a protective environment.

Initiate contact precautions.

Initiate airborne precautions.

Answer and Explanation

The Correct Answer is A

A. Initiate droplet precautions. Pertussis (whooping cough) is transmitted via respiratory droplets. Droplet precautions are necessary to prevent the spread of the disease through coughs or sneezes.

B. Initiate a protective environment. A protective environment is used for patients with severe immunocompromised conditions to protect them from infections, not to prevent the spread of respiratory infections like pertussis.

C. Initiate contact precautions. Contact precautions are used for infections spread by direct or indirect contact with the patient or their environment, such as MRSA. Pertussis is spread by droplets, not by contact.

D. Initiate airborne precautions. Airborne precautions are for diseases that are spread through airborne particles, such as tuberculosis or measles. Pertussis is not airborne but spread through larger respiratory droplets.

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Correct Answer is D

Explanation

A. Beriberi: Incorrect. Caused by a deficiency in thiamine (Vitamin B1), not linked to high milk consumption.

B. Dehydration: Incorrect. Milk intake can contribute to hydration, though it should not replace water.

C. Diabetes mellitus: Incorrect. High milk consumption is not directly linked to diabetes in toddlers.

D. Iron-deficiency anemia: Correct. Excessive milk can lead to iron-deficiency anemia because milk is low in iron and can interfere with iron absorption from other foods, leading to reduced iron intake.

A. Methylprednisolone B. Montelukast C. Albuterol D. Fluticasone

Correct Answer is C

Explanation

A. Methylprednisolone: Methylprednisolone is a corticosteroid used to reduce inflammation in the airways. While effective in managing asthma, it has a slower onset of action and is used for longer-term management rather than immediate relief in acute situations.

B. Montelukast: Montelukast is a leukotriene receptor antagonist used for long-term control of asthma symptoms. It is not effective for immediate relief during an acute asthma attack because it takes time to exert its effects.

C. Albuterol: Albuterol is a short-acting beta-agonist that provides rapid bronchodilation. It is the first-line medication for immediate relief of bronchospasm during an acute asthma attack, making it the most appropriate choice for immediate administration.

D. Fluticasone: Fluticasone is an inhaled corticosteroid used for long-term asthma management and prevention of exacerbations. It is not suitable for immediate relief of an acute asthma attack as it does not act quickly enough to relieve bronchospasm.

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A nurse is assisting with the admission of a child who has pertussis. Which of the following actions should the nurse take?

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