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
The Correct Answer is C
A. Pediculosis capitis (head lice) does not require droplet precautions.
B. Viral conjunctivitis is typically transmitted through contact precautions rather than droplet precautions.
C. Correct. Seasonal influenza is transmitted via respiratory droplets, necessitating droplet precautions to prevent transmission.
D. Hepatitis A is transmitted via the fecal-oral route and does not require droplet precautions.
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Related Questions
Correct Answer is D
Explanation
A. Assessing both eyes together first, then separately, is not a typical method for assessing visual acuity in children.
B. Positioning the child 4.6 meters (15 feet) from the chart is not practical for testing visual acuity in a clinical setting.
C. Testing the child without glasses before testing with glasses may be appropriate but is not specifically related to the method of visual acuity assessment.
D. Using a tumbling E chart is appropriate for assessing visual acuity in young children who may not recognize letters. The tumbling E chart uses a series of "E" shapes facing different directions, allowing the child to indicate the direction the "E" is facing, thus assessing visual acuity.
Correct Answer is A
Explanation
A. Infusing each unit of blood within 4 hours is a standard practice to minimize the risk of bacterial contamination and ensure the effectiveness of the transfusion. This intervention helps maintain the integrity and safety of the blood product.
B. Infusing dextrose 5% in water during the infusion of packed RBCs is unnecessary and not recommended as it can lead to hemolysis of the blood cells and potential adverse reactions.
C. Storing the second unit of blood at room temperature for up to 2 hours is incorrect practice. Blood products should be stored according to specific guidelines to maintain their integrity and safety.
D. Administering RBCs using non-filtered IV tubing is inappropriate as it can lead to the infusion of clots or debris, which can be harmful to the patient. The use of filtered IV tubing is recommended to ensure the safety of the transfusion.
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