A nurse on a pediatric unit is reviewing transmission-based precautions. Which of the following communicable diseases should the nurse implement droplet precautions? (Select All that Apply.)
Methicillin-resistant staphylococcus aureus (MRSA)
Tuberculosis
Pertussis
Influenza
Group A Streptococcus B-hemolytic
Correct Answer : C,D,E
A. MRSA requires contact precautions, not droplet.
B. Tuberculosis requires airborne precautions, not droplet.
C. Pertussis is transmitted via respiratory droplets.
D. Influenza is transmitted via respiratory droplets.
E. Group A Streptococcus infections, especially pharyngitis, require droplet precautions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
Heart rate: Not changed
No specific mention of heart rate changes, so it remains unchanged.
Respiratory rate: Not changed
Respirations are described as clear and shallow, with no significant change noted over time. The child's respiratory rate appears stable.
Urine output: Improved
Initially, the output was 8 mL of concentrated urine over 2 hours, and by 1600, the output increased to 30 mL of yellow urine over 2 hours. The improvement in both the volume and color indicates that hydration status is improving.
Mucous membranes: Improved
At 1000, the mucous membranes were described as pale and dry. By 1200, they were pale and sticky, which is still a sign of dehydration, but by 1600, they are likely improving as the child is receiving intravenous fluids and hydration.
Abdominal examination: Not changed
The abdominal examination remains consistent, with mild tenderness on palpation and hyperactive bowel sounds observed throughout the shift. These findings indicate that the child is still experiencing gastrointestinal upset but without significant worsening.
Vomiting frequency: Improved
Vomiting frequency decreased from 8 times in the previous 24 hours to just 1 episode in the past 2 hours, indicating a significant improvement in vomiting control.
Correct Answer is D
Explanation
A. Cough and respiratory symptoms are not primary features of Kawasaki disease.
B. Joint pain and swelling are more common in juvenile idiopathic arthritis, not Kawasaki disease.
C. Abdominal pain and diarrhea are not defining characteristics of Kawasaki disease.
D. Kawasaki disease is characterized by a persistent high fever lasting more than 5 days, along with symptoms such as conjunctivitis, rash, and swollen lymph nodes.
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