A nurse is caring for a 2-year-old child who has impetigo contagiosa on his face
and hands. Which of the following actions should
the nurse take?
Apply topical antibiotics to the lesions twice a day.
Cover the lesions with sterile gauze dressings.
Wash the lesions with warm water and soap daily.
Trim the child's fingernails and discourage scratching.
The Correct Answer is A
Choice A reason: This is a correct action. The nurse should apply topical antibiotics to the lesions twice a day to treat the infection and prevent its spread.
Choice B reason: This is an incorrect action. The nurse should not cover the lesions with sterile gauze dressings, because this can create a moist environment that promotes bacterial growth and delays healing.
Choice C reason: This is not a priority action. The nurse should wash the lesions with warm water and soap daily to remove crusts and debris, but this is not as important as applying topical antibiotics.
Choice D reason: This is not a priority action. The nurse should trim the child's fingernails and discourage scratching to prevent skin damage and secondary infection, but this is not as important as applying topical antibiotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Contact precautions are used for patients who have infections that can be spread by direct or indirect contact with the patient or the patient's environment. Examples of infections that require contact precautions are scabies, impetigo, and Clostridium difficile.
Choice B reason: Droplet precautions are used for patients who have infections that can be spread by large respiratory droplets that are generated by coughing, sneezing, or talking. Examples of infections that require droplet precautions are influenza, pertussis, and meningitis.
Choice C reason: Airborne precautions are used for patients who have infections that can be spread by small airborne particles that can remain suspended in the air and travel over long distances. Examples of infections that require airborne precautions are tuberculosis, measles, and chickenpox.
Choice D reason: Vector-borne precautions are used for patients who have infections that can be spread by insects or animals that carry the infectious agent. Examples of infections that require vector-borne precautions are malaria, Lyme disease, and rabies.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason: This is a correct action. The nurse should administer oral rehydration solution as prescribed to prevent dehydration and electrolyte imbalance.
Choice B reason: This is a correct action. The nurse should monitor the child's weight and intake and output to assess fluid status and hydration level.
Choice C reason: This is a correct action. The nurse should isolate the child from other children in the unit to prevent transmission of rotavirus, which is highly contagious.
Choice D reason: This is an incorrect action. The nurse does not need to collect stool specimens for culture and sensitivity, because rotavirus gastroenteritis is diagnosed by antigen detection tests or polymerase chain reaction (PCR) tests.
Choice E reason: This is a correct action. The nurse should teach the parents about proper hand hygiene to prevent infection and cross-contamination.
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