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 D

Explanation

A. Assessing the child's pain level is important but may not be the first priority postoperatively, especially if there are signs of compromised circulation.

B. Rechecking the child's temperature is important but may not be the first priority postoperatively unless there are specific concerns related to temperature regulation.

C. Determining the child's sedation level is important for monitoring but may not be the first priority unless there are signs of respiratory compromise or other urgent concerns.

D. Comparing the child's pedal pulses is crucial in this situation as the child has undergone surgical procedures on the lower extremity, and changes in pedal pulses could indicate compromised circulation, which requires immediate attention to prevent complications such as compartment syndrome.

A. Reinforce the dressing. B. Obtain vital signs. C. Apply pressure just above the insertion site. D. Monitor the pulse distal to the insertion site.

Correct Answer is C

Explanation

A. Reinforcing the dressing is not sufficient to control bleeding. Pressure needs to be applied directly.

B. Vital signs are important to monitor, but stopping the bleeding is the priority action first.

C. Applying pressure just above the insertion site is the first action to control bleeding after a cardiac catheterization. Immediate pressure helps to stop the bleeding before further actions are taken.

D. Monitoring the pulse distal to the insertion site is important to assess circulation, but controlling the bleeding comes first.

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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

Exhibits A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first? (Click the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

Correct Answer is D

Explanation

A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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