A nurse is caring for a child who has chickenpox, a communicable disease caused by the varicella-zoster virus. Which of the following transmission-based precautions should the nurse implement for this patient?

Contact precautions

Droplet precautions

Airborne precautions

Vector-borne precautions

Answer and Explanation

The Correct Answer is C

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.

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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. Encourage oral fluids and soft foods. B. Administer antitussive medication as needed. C. Provide humidified oxygen via nasal cannula. D. Monitor the child for signs of respiratory distress.

Correct Answer is D

Explanation

Choice A reason: This is not a priority intervention. The nurse should encourage oral fluids and soft foods to prevent dehydration and maintain nutrition, but this is not as important as monitoring the child for respiratory distress.

Choice B reason: This is an incorrect intervention. The nurse should not administer antitussive medication to a child who has pertussis, because it can suppress the cough reflex and increase the risk of mucus accumulation and airway obstruction.

Choice C reason: This is not a priority intervention. The nurse should provide humidified oxygen via nasal cannula to moisten the airways and ease breathing, but this is not as important as monitoring the child for respiratory distress.

Choice D reason: This is a priority intervention. The nurse should monitor the child for signs of respiratory distress, such as cyanosis, tachypnea, retractions, or nasal flaring, because pertussis can cause severe coughing spells that can interfere with breathing.

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A nurse is caring for a child who has chickenpox, a communicable disease caused by the varicella-zoster virus. Which of the following transmission-based precautions should the nurse implement for this patient?

Nursing Test Bank

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

A nurse is planning care for a child who has pertussis (whooping cough). Which ofthe following interventions should be included inthe plan?

Correct Answer is D

Explanation

A nurse is caring for a child who has chickenpox, a communicable disease caused by the varicella-zoster virus. Which of the following transmission-based precautions should the nurse implement for this patient?

A nurse is performing hand hygiene before entering a patient's room. The nurse's hands are not visibly soiled. Which of the following statements should the nurse make to explain the rationale for hand hygiene?

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A nurse is evaluating the effectiveness of infection control education for a group of parents of hospitalized children. Which of the following statements by one of the parents indicates an understanding of the teaching?

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.)

A nurse is assessing a child who has been admitted with a urinary tract infection (UTI). Which of the following statements by the child's parent indicates a possible source of infection?

A nurse is preparing to administer medication to a child who is hospitalized with an infection. The nurse scans the patient's identification bracelet and verifies the medication order. Which of the following statements should the nurse make to ensure patient safety?

A nurse is teaching a group of parents about the risk factors for infection in hospitalized children. Which of the following statements should the nurse include in the teaching? (Select all that apply.)