A nurse is caring for a child who has impetigo contagiosa that developed in the hospital.
Which of the following actions should the nurse take?
Administer amphotericin B IV.
Apply lidocaine ointment topically.
Initiate contact isolation precautions.
Report the disease to the state health department.
Report the disease to the state health department.
The Correct Answer is C
A. Administering amphotericin B IV is not indicated for impetigo contagiosa, which is typically treated with topical antibiotics.
B. Applying lidocaine ointment topically is not indicated for impetigo contagiosa and would not address the infection.
C. Initiating contact isolation precautions is appropriate for impetigo contagiosa to prevent the spread of the infection to other patients and healthcare workers.
D. Reporting the disease to the state health department may be necessary for certain communicable diseases but is not the immediate action required in this scenario.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Administering vaccines prior to discharge may be contraindicated in a child with neutropenia due to the risk of infection from live vaccines.
B. Avoiding raw fruits and vegetables helps reduce the risk of exposure to harmful bacteria or pathogens that could lead to infection in a child with neutropenia, as their immune system is compromised.
C. Bathing the child every other day is a general hygiene practice and does not specifically address the risk of infection associated with neutropenia.
D. Obtaining the child's rectal temperature once daily is a routine assessment and does not directly address the risk of infection associated with neutropenia.
Correct Answer is A
Explanation
A. Vomiting is a sign of potential digoxin toxicity, and the nurse should revise the plan of care for this toddler.
B. This digoxin level is within the therapeutic range.
C. An apical pulse of 100/min could be normal for a toddler, but it should be monitored closely in the context of digoxin therapy.
D. This potassium level is within the normal range.
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