A nurse is caring for a toddler who has impetigo. Which of the following actions by the nurse indicates an understanding of how impetigo is spread?

Initiating droplet precautions for the toddler

Wearing gloves when assessing the toddler

Placing the toddler in a negative airflow room

Providing a protective environment for the toddler

Answer and Explanation

The Correct Answer is B

A. Droplet precautions are not needed for impetigo; it is spread through direct contact with lesions or contaminated items.

B. Wearing gloves when assessing the toddler is important to prevent the spread of impetigo, which is highly contagious.

C. Negative airflow rooms are not required for impetigo.

D. Protective environments are for immunocompromised patients, which is not necessary for impetigo.

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Correct Answer is B

Explanation

A. The seat height should allow the child to have both feet flat on the ground when seated, ensuring they can stop the bike safely.

B. Walking the bicycle through intersections is the safest practice, as it ensures the child is aware of their surroundings and less likely to be involved in a collision.

C. Children should ride with the flow of traffic to be visible to drivers, not against it.

D. Keeping the bike 3 feet from the curb is not ideal. Children should ride as close to the curb as possible without endangering themselves.

A. A toddler who has an apical pulse of 100/min B. A toddler who has a potassium level of 4.0 mEq/L (3.4 to 4.7 mEq/L) C. A toddler who has vomited 2 times in the last hour D. A toddler who has a digoxin level of 1.2 ng/mL (0.8 to 2 ng/mL)

Correct Answer is C

Explanation

A. An apical pulse of 100/min is within the normal range for a toddler. Digoxin should be administered cautiously if the heart rate is too low (below 90-100/min for young children), but 100/min is not a concern.

B. A potassium level of 4.0 mEq/L is within the normal range for toddlers (3.4-4.7 mEq/L), so there is no indication to revise the plan of care.

C. Vomiting is a sign of digoxin toxicity, and it requires immediate attention. The nurse should reassess the digoxin dose and check for other signs of toxicity, such as nausea, bradycardia, and arrhythmias.

D. A digoxin level of 1.2 ng/mL is within the therapeutic range for a toddler (0.8-2 ng/mL), so there is no need to revise the plan of care based on this finding.

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A nurse is caring for a toddler who has impetigo. Which of the following actions by the nurse indicates an understanding of how impetigo is spread?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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