A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?

Disposable diapers

Protective plastic gowns

Unopened bottles of formula

Bedside computer keyboard

Answer and Explanation

The Correct Answer is D

A. Disposable diapers are not typically associated with healthcare-associated infections.

B. Protective plastic gowns are used to prevent transmission but do not contribute to healthcare-associated infections when used properly.

C. Unopened bottles of formula are safe from contamination until they are opened and prepared.

D. The bedside computer keyboard is a common source of healthcare-associated infection due to frequent handling and minimal cleaning, making it a vector for bacteria and viruses.

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Correct Answer is D

Explanation

A. The Babinski reflex is normal in infants up to 12-18 months and does not require intervention.

B. The presence of tears when crying is a normal finding and does not indicate a concern.

C. The Doll's eye reflex (in which the eyes remain fixed when the head is turned) is normal in infants and does not require intervention.

D. At 4 months of age, infants should still have head lag when pulled to a sitting position. If there is no head lag, this may indicate a neurological issue or developmental delay.

A. Test the child without glasses before testing with glasses. B. Position the child 4.6 meters (15 feet) from the chart. C. Assess both eyes together first, then each eye separately. D. Use a tumbling E chart for the assessment.

Correct Answer is D

Explanation

A. Testing with glasses should be done after testing without them to evaluate the effect of correction.

B. Positioning the child 4.6 meters (15 feet) from the chart is the standard for adult vision testing, but for young children, testing should typically be at a closer distance.

C. The assessment should begin with each eye separately, not together, to evaluate each eye's function independently.

D. The tumbling E chart is often used to assess visual acuity in young children who cannot yet recognize letters. The child points to the direction of the "E" to demonstrate understanding.

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A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?

Nursing Test Bank

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