A nurse is caring for a 4-year-old child who has been diagnosed with rotavirus gastroenteritis. Which of the following actions should the nurse take? (Select all that apply.)
Administer oral rehydration solution as prescribed.
Monitor the child's weight and intake and output.
Isolate the child from other children in the unit.
Collect stool specimens for culture and sensitivity.
Teach the parents about proper hand hygiene.
Correct Answer : A,B,C,E
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: This is an incorrect action. The nurse should place the child in a private room with negative air pressure only if the child has an airborne infection, such as tuberculosis or measles. Chickenpox is transmitted by both airborne and contact routes, so a private room with positive air pressure is sufficient.
Choice B reason: This is a correct action. The nurse should wear gloves and a gown when entering the room to prevent contact transmission of chickenpox.
Choice C reason: This is a correct action. The nurse should apply calamine lotion to the skin lesions to relieve itching and prevent scratching.
Choice D reason: This is a correct action. The nurse should administer acyclovir as prescribed to reduce viral shedding and shorten the duration of symptoms.
Choice E reason: This is an incorrect action. The nurse should not give aspirin for fever and pain relief to a child who has chickenpox, because it can increase the risk of Reye syndrome, a rare but serious condition that affects the liver and brain.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason: Children who have chronic conditions such as asthma or diabetes are more prone to infection because their immune system may be compromised or weakened by their underlying disease.
Choice B reason: Children who receive immunizations on time are less likely to get infected because they have developed immunity against certain diseases that can be prevented by vaccines.
Choice C reason: Children who have invasive devices such as catheters or IV lines are at increased risk of infection because these devices can introduce microorganisms into the body or create a portal of entry for infection.
Choice D reason: Children who share a room with another patient are more exposed to infection because they may come in contact with the infectious agent from the other patient or the environment.
Choice E reason: Children who have visitors or family members who are sick should not be in contact with them because they may transmit the infection to the child or vice versa.
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