A nurse is caring for a school age child who has pertussis.
Which of the following actions should the nurse take?
Report the diagnosis to the public health department
Place the child in a protected environment for 48hr
Administer the pertussis vaccine
Restrict oral fluids to 500mL per day
The Correct Answer is A
Choice A rationale
Pertussis, also known as whooping cough, is a highly contagious bacterial disease. Health care providers are required to report cases of pertussis to the local health department to help track and control the spread of the disease.
Choice B rationale
Placing the child in a protected environment for 48 hours is not a standard action for a child with pertussis. The child will need to be isolated until they have completed a full course of antibiotics to prevent spreading the infection.
Choice C rationale
Administering the pertussis vaccine is not typically done when a child is already infected. The vaccine is used for prevention, not treatment.
Choice D rationale
Restricting oral fluids to 500 mL per day is not a standard action for a child with pertussis. Adequate hydration is important for children with respiratory infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Giving water after administering digoxin helps ensure that the medication is swallowed and reaches the stomach, which is important for proper absorption.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale
Providing a high-calorie diet is a recommended action for a child who has received partial-thickness burns to
over 50% of his body. After a burn injury, the body needs extra calories and protein to heal, fight infection, and maintain its functions. A high-calorie diet can help meet these increased nutritional needs.
Choice B rationale
Administering analgesics intramuscularly (IM) is not a recommended action for a child with partial- thickness burns. Pain management is crucial in burn care, but analgesics should be given orally or intravenously, not IM, to avoid additional pain and tissue damage.
Choice C rationale
Monitoring intake and output is a recommended action for a child who has received partial-thickness burns to over 50% of his body. This can help assess the child’s hydration status, kidney function, and response to fluid replacement therapy.
Choice D rationale
Removing splints during sleep is not a recommended action for a child with partial-thickness burns. Splints are used to prevent contractures by keeping the joints in a functional position. They should be worn as prescribed by the healthcare provider, which often includes during sleep.
Choice E rationale
Changing dressings using aseptic technique is a recommended action for a child who has received partial- thickness burns to over 50% of his body. This can help prevent infection, promote healing, and assess the burn’s progress.
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