A nurse is assisting with the care of several clients.
The nurse should identify that which of the following client conditions requires contact precautions?
Clostridium difficile.
Streptococcal pharyngitis.
Haemophilus influenzae.
Mycoplasma pneumoniae.
The Correct Answer is A
Choice A rationale
Clostridium difficile requires contact precautions because it spreads through direct contact with contaminated surfaces or infected individuals. The organism produces spores that can survive on surfaces for long periods, making it highly contagious. Contact precautions help prevent the transmission by using protective equipment such as gloves and gowns and ensuring proper hand hygiene with soap and water.
Choice B rationale
Streptococcal pharyngitis, also known as strep throat, primarily spreads through respiratory droplets rather than direct contact. Therefore, contact precautions are not typically required.
Choice C rationale
Haemophilus influenzae spreads through respiratory droplets rather than direct contact. Droplet precautions are more appropriate to prevent its transmission, rather than contact precautions.
Choice D rationale
Mycoplasma pneumoniae also spreads through respiratory droplets and does not typically require contact precautions. Droplet precautions are more suitable for preventing its transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Leaving the television on during the night may cause overstimulation in children with autism, disrupting their sleep patterns and leading to increased anxiety and agitation.
Choice B rationale
Minimizing physical contact respects the sensory sensitivities common in children with autism. Overwhelming sensory input from physical contact can cause distress and exacerbate behavioral issues.
Choice C rationale
Placing the child in a semi-private room can increase the risk of sensory overload and potential conflicts with roommates, as children with autism often struggle with shared spaces and the presence of unfamiliar people.
Choice D rationale
Forcing eye contact, especially when the child is agitated, can be distressing for children with autism. It may increase their agitation and make it harder for them to cope with their emotions and surroundings.
Correct Answer is A
Explanation
Choice A rationale
New onset lethargy in a child with endocarditis is concerning and could indicate worsening of the infection, possibly leading to heart failure or other complications. This needs immediate assessment and intervention.
Choice B rationale
Erythema of the lips is a common symptom in Kawasaki disease and, while it needs monitoring, it is not typically an immediate emergency.
Choice C rationale
An increased erythrocyte sedimentation rate is an indication of inflammation but is expected in rheumatic fever and does not necessitate immediate intervention.
Choice D rationale
Weak pedal pulses are a characteristic of coarctation of the aorta but are typically a chronic finding that does not require immediate emergency action unless accompanied by other symptoms. .
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