A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?

A preschool-age child who has pediculosis capitis

A school-age child who has viral conjunctivitis

A toddler who has seasonal influenza

An adolescent who has hepatitis A

Answer and Explanation

The Correct Answer is C

A.   Pediculosis capitis (head lice) does not require droplet precautions.
B.   Viral conjunctivitis (pink eye) is typically spread through direct contact or contact with contaminated surfaces, not droplets.
C.   Seasonal influenza is a respiratory illness that can spread through droplets when the infected person coughs or sneezes, necessitating droplet precautions.
D.   Hepatitis A is primarily spread through the fecal-oral route and does not require droplet precautions.

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Correct Answer is D

Explanation

A) Abrasions on the knees could result from normal childhood activities and may not indicate physical abuse.
B) Front deciduous teeth missing could be due to normal tooth loss.
C) Weight in the 45th percentile is within a normal range and does not necessarily indicate physical abuse.
D) Bruising around the wrists is concerning for physical abuse, especially in a pattern consistent with restraining or gripping.

A. Partial thromboplastin time (PTT) B. C-reactive protein (CRP) C. Erythrocyte sedimentation rate (ESR) D. Antistreptolysin O (ASO) titer E. Blood urea nitrogen (BUN)

Correct Answer is ["B","C","D"]

Explanation

A. Partial thromboplastin time (PTT) is not typically used in the diagnosis of rheumatic fever.
B. C-reactive protein (CRP) is elevated in cases of inflammation and can help confirm the diagnosis of rheumatic fever.
C. Erythrocyte sedimentation rate (ESR) is another marker of inflammation that can be elevated in rheumatic fever.
D. Antistreptolysin O (ASO) titer measures antibodies against streptolysin O produced by Group A Streptococcus, which can indicate recent streptococcal infection, contributing to the diagnosis of rheumatic fever.
E. Blood urea nitrogen (BUN) is not directly related to the diagnosis of rheumatic fever.

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A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is ["B","C","D"]

Explanation

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