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 A
Explanation
Choice A reason: Wearing gloves and a gown while handling the soiled linens and disposing of them in a biohazard bag is an appropriate action to prevent environmental contamination. This follows the standard precautions for contact with blood or body fluids and the transmission-based precautions for contact with infectious agents.
Choice B reason: Wearing a mask and eye protection while wiping the surfaces and equipment with a disinfectant solution is not necessary for contact precautions. This would be indicated for droplet or airborne precautions, where respiratory droplets or particles may be present.
Choice C reason: Wearing sterile gloves and a surgical mask while removing any sharps or needles and placing them in a puncture-resistant container is not required for contact precautions. This would be indicated for situations where there is a risk of exposure to bloodborne pathogens or other infectious materials.
Choice D reason: Wearing a respirator and a face shield while spraying an aerosol sanitizer in the air and on the curtains is not recommended for contact precautions. This would be indicated for airborne precautions, where small airborne particles may be present. However, spraying an aerosol sanitizer is not an effective way to disinfect the environment, as it may create aerosols that can spread infection.
Correct Answer is A
Explanation
Choice A reason: This is a correct statement. The parent indicates an understanding of the teaching by stating that they will wash their hands with soap and water before and after visiting their child, which is a key component of standard precautions and infection control.
Choice B reason: This is an incorrect statement. The parent does not need to wear a mask and gloves when they enter their child's room, unless their child has a known or suspected infection that requires transmission-based precautions.
Choice C reason: This is an incorrect statement. The parent should not bring fresh flowers and balloons for their child, because they can harbor microorganisms and allergens that can cause infection or irritation.
Choice D reason: This is an incorrect statement. The parent should not share their child's toys with other children in the ward, because they can transmit microorganisms and cause cross-infection.
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