A nurse is caring for a school-age child who has pertussis. Which of the following actions should the nurse take?
Place the child in a protected environment for 48 hr
Administer the pertussis vaccine.
Report the diagnosis to the public health department.
Restrict oral fluids to 500 mL per day.
The Correct Answer is C
A. Place the child in a protected environment for 48 hr: While isolation might be implemented, 48 hours is not a typical timeframe for pertussis. The contagious period can last for weeks.
B. Administer the pertussis vaccine: The pertussis vaccine is for prevention, not treatment of an active case.
C. Report the diagnosis to the public health department. Pertussis, also known as whooping cough, is a highly contagious respiratory illness. Reporting the case to the public health department allows them to track the spread of the disease and take steps to prevent further outbreaks
D. Restrict oral fluids to 500 mL per day. Restricting fluids can worsen dehydration, especially in a child with a respiratory illness.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I should withhold my child's medication before physical activity." Withholding medication is not advised as prednisone helps manage inflammation. The child may require medication to control symptoms during physical activity.
B. "My child might experience mood swings." Mood swings are a known side effect of prednisone, a corticosteroid. This statement indicates correct understanding.
C. "I should take my child to the clinic for a weekly blood test." Routine weekly blood tests are not typically required for prednisone. Monitoring might be necessary, but not weekly blood tests.
D. "My child might have a decreased appetite." Prednisone often causes increased appetite rather than decreased. This statement is incorrect.
Correct Answer is D
Explanation
A. "Let's review the side effects of metronidazole.” Metronidazole is used to treat bacterial infections like bacterial vaginosis and trichomoniasis, not syphilis. Syphilis is typically treated with penicillin or other appropriate antibiotics.
B. “I have to contact your parents.” At 20 years old, the patient is an adult and has a right to medical privacy. Contacting their parents without consent would violate patient confidentiality laws.
C. “You need to come back in a week for retesting" Retesting is important in the follow-up for sexually transmitted infections, but it is usually scheduled for a later date (e.g., after treatment is completed and time has passed to check for cure or reinfection). A week is too soon for meaningful retesting for syphilis.
D. “I have to notify the public health department.” Syphilis is a reportable disease, meaning healthcare providers are required to notify public health authorities to help control the spread of the infection. This is necessary for public health tracking and intervention.
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