A nurse is reviewing the laboratory results of a child who has an infection. Which of the following findings should the nurse report to the provider? (Select all that apply.)

White blood cell count of 12,000/mm3

Erythrocyte sedimentation rate of 40 mm/h

C-reactive protein level of 8 mg/L

Blood culture positive for Staphylococcus aureus

Urine culture negative for Escherichia coli

Answer and Explanation

Correct Answer : B,C,D

Choice A reason: A white blood cell count (WBC) of 12,000/mm3 is within the normal range for children aged 2 to 6 years. A WBC count above this range may indicate an infection or inflammation.

Choice B reason: An erythrocyte sedimentation rate (ESR) of 40 mm/h is elevated for children aged 2 to 6 years. The normal range for this age group is 0 to 20 mm/h. An ESR above this range may indicate an infection or inflammation.

Choice C reason: A C-reactive protein (CRP) level of 8 mg/L is elevated for children aged 2 to 6 years. The normal range for this age group is less than 1 mg/L. A CRP level above this range may indicate an infection or inflammation.

Choice D reason: A blood culture positive for Staphylococcus aureus indicates a bacterial infection in the bloodstream. This can be a serious condition that requires prompt treatment with antibiotics.

Choice E reason: A urine culture negative for Escherichia coli indicates no bacterial infection in the urinary tract. This is a normal finding that does not require further action.

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Correct Answer is B

Explanation

Choice A reason: Contact isolation is used for patients who have infections that can be spread by direct or indirect contact with the patient or their environment. Pertussis is not transmitted by contact, but by respiratory droplets.

Choice B reason: Droplet isolation is used for patients who have infections that can be spread by large respiratory droplets that are generated by coughing, sneezing, or talking. Pertussis is transmitted by respiratory droplets, so droplet isolation is appropriate.

Choice C reason: Airborne isolation is used for patients who have infections that can be spread by small airborne particles that can remain suspended in the air and travel over long distances. Pertussis is not transmitted by airborne particles, but by respiratory droplets.

Choice D reason: Protective isolation is used for patients who have compromised immune systems and are at risk of acquiring infections from others. Pertussis does not require protective isolation, as it does not pose a threat to immunocompromised patients.

A. Administer oral rehydration solution as prescribed. B. Monitor the child's weight and intake and output. C. Isolate the child from other children in the unit. D. Collect stool specimens for culture and sensitivity. E. Teach the parents about proper hand hygiene.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: This is a correct action. The nurse should administer oral rehydration solution as prescribed to prevent dehydration and electrolyte imbalance.

Choice B reason: This is a correct action. The nurse should monitor the child's weight and intake and output to assess fluid status and hydration level.

Choice C reason: This is a correct action. The nurse should isolate the child from other children in the unit to prevent transmission of rotavirus, which is highly contagious.

Choice D reason: This is an incorrect action. The nurse does not need to collect stool specimens for culture and sensitivity, because rotavirus gastroenteritis is diagnosed by antigen detection tests or polymerase chain reaction (PCR) tests.

Choice E reason: This is a correct action. The nurse should teach the parents about proper hand hygiene to prevent infection and cross-contamination.

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A nurse is reviewing the laboratory results of a child who has an infection. Which of the following findings should the nurse report to the provider? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has pertussis, also known as whooping cough, which is caused by Bordetella pertussis bacteria. Which of the following types of isolation should the nurse use for this patient?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","C","E"]

Explanation

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