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. ``It's okay for my child to have plenty of ice cream.": While ice cream is soft and soothing, it may increase mucus production. Dairy products are contraindicated post tonsillectomy.

B. "I'll help my child gargle with salt water a few times a day.": Gargling is contraindicated post-tonsillectomy because it can dislodge clots and increase the risk of bleeding.

C. "It's okay for my child to ride his bike in a few days.": Strenuous activity should be avoided to reduce the risk of bleeding.

D. "I'll call the doctor if my child is swallowing continuously.": Continuous swallowing can indicate bleeding, a serious complication that requires immediate medical attention.

A. "Your newborn will receive the first DTaP vaccine during the initial well-baby visit." B. "Your newborn should receive an immunization for MMR at 6 months." C. "Your newborn is scheduled to have a hepatitis B vaccine prior to discharge." D. "Your newborn should receive the PCV vaccine two times prior to his first birthday."

Correct Answer is C

Explanation

A. "Your newborn will receive the first DTaP vaccine during the initial well-baby visit.": The first dose of DTaP is typically given at 2 months, not at the newborn stage.

B. "Your newborn should receive an immunization for MMR at 6 months.": The MMR vaccine is usually administered at 12-15 months, not at 6 months.

C. "Your newborn is scheduled to have a hepatitis B vaccine prior to discharge.": Hepatitis B vaccine is recommended to be given within 24 hours of birth as the first dose of a series.

D. "Your newborn should receive the PCV vaccine two times prior to his first birthday.": The pneumococcal conjugate vaccine (PCV) schedule starts at 2 months with multiple doses, but not specifically "two times" before the first birthday.

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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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