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 A
Explanation
Choice A rationale
The radial pulse is palpated at the wrist, on the thumb side. This is the most common site for checking pulse in a school-age child.
Choice B rationale
The inner side of the elbow is where the brachial pulse is palpated, commonly used for blood pressure measurements.
Choice C rationale
The neck is where the carotid pulse is palpated, generally used in emergencies when the radial pulse is not palpable.
Choice D rationale
The upper arm is where the brachial artery is located but is not used to measure the radial pulse.
Correct Answer is D
Explanation
Choice A rationale
Adding medication to a child's formula is not recommended as the child may refuse the entire feeding, making it difficult to ensure the full dose is taken.
Choice B rationale
Placing small bits of ice on a child's tongue is not an effective or safe method for administering medication. Ice can be a choking hazard and may not aid in the process.
Choice C rationale
Positioning a child on their back during medication administration increases the risk of aspiration. It's safer to keep them slightly upright.
Choice D rationale
Placing the medication along the inside of the child's cheek (buccal administration) ensures the medication is swallowed slowly and safely, reducing the risk of choking and aspiration.
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