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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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