A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following actions should the nurse plan to take?

Wear an N95 respiratory mask while caring for the toddler.

Place the toddler in a room with negative air pressure.

Use a designated stethoscope when caring for the toddler.

Remove the disposable gown after leaving the toddler's room

Answer and Explanation

The Correct Answer is C

A. Wearing an N95 respiratory mask is not typically required for routine care of a toddler with respiratory syncytial virus unless performing procedures that generate aerosols.

B. Negative pressure rooms are generally reserved for patients with airborne infections like

tuberculosis; respiratory syncytial virus does not typically require isolation in a negative pressure room.

C. Using a designated stethoscope helps prevent the spread of infection to other patients by avoiding cross-contamination.

D. Removing the disposable gown after leaving the toddler's room is appropriate for maintaining infection control but is not specific to caring for a toddler with respiratory syncytial virus.

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Correct Answer is B

Explanation

A. The examination light of the ophthalmoscope should be directed toward the client's eye, not the client's face.

B. When examining the left eye, the nurse should stand on the right side of the client to facilitate proper alignment of the ophthalmoscope with the client's eye.

C. Dimming the lights in the room may improve visualization of the client's internal eye

structures, but it is not typically necessary for ophthalmoscopic examination and may hinder the nurse's ability to assess the client effectively.

D. Placing the ophthalmoscope directly against the client's forehead would not facilitate proper examination of the internal eye structures and may cause discomfort to the client.

A. Limit each of the client's visitors to 1 hr per day. B. Remove dirty linens from the room after double bagging. C. Wear a dosimeter film badge while in the client's room. D. Ensure family members remain at least 1 m (3.2 feet) from the client.

Correct Answer is C

Explanation

A. Limit each of the client's visitors to 1 hr per day. - This is not necessary specifically due to the presence of the radiation implant. Visitation restrictions should be based on hospital policy and

the client's condition, not solely on the presence of a radiation implant.

B. Remove dirty linens from the room after double bagging. - This is a standard infection control measure and is not specific to caring for a client with a radiation implant.

C. Wear a dosimeter film badge while in the client's room. - Healthcare workers who care for clients with sealed radiation implants should wear dosimeter film badges to monitor their radiation exposure levels.

D. Ensure family members remain at least 1 m (3.2 feet) from the client. - While limiting exposure to radiation is important, maintaining distance alone may not provide adequate

protection. Healthcare workers should follow appropriate safety precautions and use shielding as necessary when caring for clients with radiation implants.

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A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's internal eye structures with an ophthalmoscope. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is planning care for a client who has a sealed radiation implant and is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care?

Correct Answer is C

Explanation

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