A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate?
Droplet
Contact
Airborne
Protective
The Correct Answer is A
Rationale:
A) Pertussis is spread via respiratory droplets, so droplet precautions should be initiated.
B) Contact precautions are used for diseases transmitted by direct contact with the patient or their environment, not for pertussis.
C) Airborne precautions are used for diseases transmitted by airborne particles, such as tuberculosis or measles, not for pertussis.
D) Protective precautions are not a standard precaution type; they involve protecting immunocompromised patients from acquiring infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A) It's important to burp a baby mid-feed and after the feed to prevent discomfort, especially for a baby with a cleft lip.
B) Using a wide-based nipple may be more appropriate for a baby with a cleft lip to help with proper latch and feeding.
C) Holding the baby in an upright position during feedings can help prevent milk from entering the nasal passages, which is important for babies with cleft lip.
D) Encouraging the baby to maintain relaxed cheeks during feeding may not be applicable for a baby with a cleft lip, as proper positioning and latch are more critical.
Correct Answer is A
Explanation
Rationale:
A) Using an automated lancet device provides a controlled and consistent depth of puncture for the heel stick, minimizing discomfort and risk of injury.
B) Applying limb restraints is unnecessary and could cause distress to the infant.
C) Puncturing the heel at the inner aspect may not be the appropriate site for the heel stick.
D) Cleansing the area with povidone iodine is not necessary for a routine heel stick procedure.
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