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 A

Explanation

Choice A reason: Hand hygiene is the most effective way to prevent the spread of infection because it removes or kills microorganisms that may be present on the hands and prevents their transmission to others.

Choice B reason: Hand hygiene is required by the hospital policy and accreditation standards, but this is not the primary rationale for hand hygiene. The policy and standards are based on evidence and best practices that support hand hygiene as an infection control measure.

Choice C reason: Hand hygiene is a courtesy to the patient and shows respect, but this is not the main reason for hand hygiene. The main reason is to protect the patient and oneself from infection.

Choice D reason: Hand hygiene is a personal habit that I learned from my parents, but this is not a valid explanation for hand hygiene. Hand hygiene is based on scientific principles and guidelines, not personal preferences or traditions.

A. Wear gloves and a gown while handling the soiled linens and dispose of them in a biohazard bag. B. Wear a mask and eye protection while wiping the surfaces and equipment with a disinfectant solution. C. Wear sterile gloves and a surgical mask while removing any sharps or needles and place them in a puncture-resistant container. D. Wear a respirator and a face shield while spraying an aerosol sanitizer in the air and on the curtains.

Correct Answer is A

Explanation

Choice A reason: Wearing gloves and a gown while handling the soiled linens and disposing of them in a biohazard bag is an appropriate action to prevent environmental contamination. This follows the standard precautions for contact with blood or body fluids and the transmission-based precautions for contact with infectious agents.

Choice B reason: Wearing a mask and eye protection while wiping the surfaces and equipment with a disinfectant solution is not necessary for contact precautions. This would be indicated for droplet or airborne precautions, where respiratory droplets or particles may be present.

Choice C reason: Wearing sterile gloves and a surgical mask while removing any sharps or needles and placing them in a puncture-resistant container is not required for contact precautions. This would be indicated for situations where there is a risk of exposure to bloodborne pathogens or other infectious materials.

Choice D reason: Wearing a respirator and a face shield while spraying an aerosol sanitizer in the air and on the curtains is not recommended for contact precautions. This would be indicated for airborne precautions, where small airborne particles may be present. However, spraying an aerosol sanitizer is not an effective way to disinfect the environment, as it may create aerosols that can spread infection.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is performing hand hygiene before entering a patient's room. The nurse's hands are not visibly soiled. Which of the following statements should the nurse make to explain the rationale for hand hygiene?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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