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.

Answer and Explanation

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.

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Correct Answer is ["B","C","D"]

Explanation

Choice A reason: A white blood cell count (WBC) of 12,000/mm3 is within the normal range for children aged 2 to 6 years. A WBC count above this range may indicate an infection or inflammation.

Choice B reason: An erythrocyte sedimentation rate (ESR) of 40 mm/h is elevated for children aged 2 to 6 years. The normal range for this age group is 0 to 20 mm/h. An ESR above this range may indicate an infection or inflammation.

Choice C reason: A C-reactive protein (CRP) level of 8 mg/L is elevated for children aged 2 to 6 years. The normal range for this age group is less than 1 mg/L. A CRP level above this range may indicate an infection or inflammation.

Choice D reason: A blood culture positive for Staphylococcus aureus indicates a bacterial infection in the bloodstream. This can be a serious condition that requires prompt treatment with antibiotics.

Choice E reason: A urine culture negative for Escherichia coli indicates no bacterial infection in the urinary tract. This is a normal finding that does not require further action.

A. "Children who have chronic conditions such as asthma or diabetes are more prone to infection." B. "Children who receive immunizations on time are less likely to get infected." C. "Children who have invasive devices such as catheters or IV lines are at increased risk of infection." D. "Children who share a room with another patient are less exposed to infection." E. "Children who have visitors or family members who are sick should not be in contact with them."

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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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a child who has an infection. Which of the following findings should the nurse report to the provider? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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Correct Answer is ["A","B","C","E"]

Explanation

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