A nurse is caring for a child who has pertussis, also known as whooping cough, which is caused by Bordetella pertussis bacteria. Which of the following types of isolation should the nurse use for this patient?
Contact isolation
Droplet isolation
Airborne isolation
Protective isolation
The Correct Answer is B
Choice A reason: Contact isolation is used for patients who have infections that can be spread by direct or indirect contact with the patient or their environment. Pertussis is not transmitted by contact, but by respiratory droplets.
Choice B reason: Droplet isolation is used for patients who have infections that can be spread by large respiratory droplets that are generated by coughing, sneezing, or talking. Pertussis is transmitted by respiratory droplets, so droplet isolation is appropriate.
Choice C reason: Airborne isolation is 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. Pertussis is not transmitted by airborne particles, but by respiratory droplets.
Choice D reason: Protective isolation is used for patients who have compromised immune systems and are at risk of acquiring infections from others. Pertussis does not require protective isolation, as it does not pose a threat to immunocompromised patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Hand hygiene is the most effective way to prevent the spread of infection because it removes or kills microorganisms that may be present on the hands and prevents their transmission to others.
Choice B reason: Hand hygiene is required by the hospital policy and accreditation standards, but this is not the primary rationale for hand hygiene. The policy and standards are based on evidence and best practices that support hand hygiene as an infection control measure.
Choice C reason: Hand hygiene is a courtesy to the patient and shows respect, but this is not the main reason for hand hygiene. The main reason is to protect the patient and oneself from infection.
Choice D reason: Hand hygiene is a personal habit that I learned from my parents, but this is not a valid explanation for hand hygiene. Hand hygiene is based on scientific principles and guidelines, not personal preferences or traditions.
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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