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 A
Explanation
Rationale:
A) Offering a pacifier can help soothe a fussy baby with colic.
B) Offering water in between feedings is not recommended for infants, especially at 1 month old, as it can interfere with proper feeding and increase the risk of water intoxication.
C) Placing a warm heating pad on the baby's abdomen is not recommended without specific guidance from a healthcare provider and can pose a risk of burns.
D) Allowing the baby to cry for 5 minutes before responding is not recommended for infants, as it can lead to increased stress and distress.
Correct Answer is D
Explanation
Rationale:
A. Skin turgor assessment is important in assessing dehydration, but the priority is addressing the tachycardia first.
B. Potassium level is important in managing electrolyte imbalance in gastroenteritis, but the priority is addressing the elevated heart rate first.
C. Capillary refill is an important assessment for circulation, but the priority is addressing the elevated heart rate first.
D. The elevated heart rate (tachycardia) indicates increased workload on the heart, likely due to dehydration or other complications of gastroenteritis. This requires immediate attention to stabilize the infant's condition.
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