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A nurse is planning care for a child who has mumps.
Which of the following instructions should the nurse include in the plan?

Initiate airborne precautions.

Initiate standard precautions.

Initiate droplet precautions.

Initiate contact precautions.

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C.

Choice A rationale

Airborne precautions are not necessary for mumps. Mumps is not transmitted through airborne particles.

Choice B rationale

Standard precautions are not sufficient for mumps. Mumps requires additional precautions to prevent transmission.

Choice C rationale

Droplet precautions are necessary for mumps. Mumps is transmitted through respiratory droplets, so droplet precautions help prevent the spread of the virus.

Choice D rationale

Contact precautions are not necessary for mumps. Mumps is not transmitted through direct contact with contaminated surfaces.

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Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale

Coughing and shortness of breath in the morning are signs of poor asthma control, not well- controlled asthma. These symptoms indicate that the child’s asthma is not being managed effectively and may require adjustments in their treatment plan.

Choice B rationale

This statement is incorrect. If asthma is not controlled, the child is likely to miss more days of school due to asthma symptoms and exacerbations. Effective asthma management aims to reduce symptoms and prevent asthma attacks, allowing the child to attend school regularly.

Choice C rationale

Eliminating allergens that irritate the lungs is a key strategy in preventing asthma attacks. Allergens such as dust mites, pet dander, mold, and pollen can trigger asthma symptoms. By reducing exposure to these allergens, the child can better manage their asthma and reduce the frequency of attacks.

Choice D rationale

This statement is false. Children with well-controlled asthma can participate in sports and physical activities. Physical activity is beneficial for lung function and overall health. The nurse should teach the child how to prevent exercise-induced asthma symptoms, such as using a bronchodilator before exercise.

A. BP 90/40 mm Hg, heart rate 135/min, respirations 32/min, and oral temperature of 38°C (100.4°F). B. BP 88/45 mm Hg, heart rate 113/min, respirations 28/min, and oral temperature 37.6°C (99.7°F). C. BP 85/50 mm Hg, heart rate 95/min, respirations 26/min, and axillary temperature of 36.7°C (98.1°F). D. BP 90/52 mm Hg, heart rate 120/min, respirations 28/min, and axillary temperature of 37.3°C (99.1°F). . .

Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale

A blood pressure of 90/40 mm Hg, heart rate of 135/min, respirations of 32/min, and an oral temperature of 38°C (100.4°F) indicate potential signs of sepsis or another serious condition. The elevated heart rate and respiratory rate, along with the fever, suggest an infection that requires immediate medical attention.

Choice B rationale

While the vital signs in this option are slightly elevated, they are not as concerning as those in Choice A. The heart rate and respiratory rate are within acceptable ranges for a 2-year-old, and the temperature is only slightly elevated.

Choice C rationale

The vital signs in this option are within normal ranges for a 2-year-old child. There is no immediate cause for concern based on these vital signs.

Choice D rationale

The vital signs in this option are also within acceptable ranges for a 2-year-old child. While the heart rate is slightly elevated, it is not as concerning as the vital signs in Choice A. .

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A nurse is planning care for a child who has mumps.Which of the following instructions should the nurse include in the plan?

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A nurse is planning care for a child who has mumps.
Which of the following instructions should the nurse include in the plan?