An infant with bronchiolitis is hospitalized. The causative organism is RSV. The nurse knows that a child infected with this virus requires the following isolation:

Airborne precautions

Contact Precautions and droplet precautions

Standard Precautions and droplet precautions

Positive pressure isolation and airborne isolation

Answer and Explanation

The Correct Answer is C

A. Airborne precautions: RSV is primarily spread through respiratory droplets, not airborne particles. Therefore, airborne precautions are not necessary.

B. Contact Precautions and droplet precautions: Contact precautions are not typically required for RSV. The main mode of transmission is respiratory droplets, so droplet precautions are appropriate.

C. Standard Precautions and droplet precautions: This is the correct answer. Standard precautions involve using protective barriers to prevent the spread of infection and are applied to all patients. In addition, droplet precautions are necessary for infections transmitted through respiratory droplets.

D. Positive pressure isolation and airborne isolation: Positive pressure isolation and airborne isolation are generally used for conditions where the infectious agents are transmitted through the air, such as tuberculosis. These precautions are not necessary for RSV.

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Correct Answer is D

Explanation

A. Ask a Buddhist priest to visit.

While spiritual and cultural support can be beneficial, the immediate concern raised by the father is related to dietary preferences. Requesting a visit from a Buddhist priest may not directly address the issue of providing a suitable diet for the child.

B. Explain that hospital patients are exempt from dietary rules.

This approach may not be well-received, as it could be perceived as dismissive of the family's cultural and religious beliefs. It's important to respect and accommodate the family's dietary preferences whenever possible.

C. Help the parent understand that meat provides protein needed for healing.

While nutritional education is valuable, it should be presented in a way that respects the family's beliefs. It's important to acknowledge and accommodate the family's vegetarian preferences while exploring alternative sources of protein.

D. Order the child a meatless tray.

This is the most appropriate intervention in this situation. Ordering a meatless tray respects the family's dietary preferences and ensures that the child's nutritional needs are met within the context of their cultural and religious beliefs.

A. Begin with taking all the vital signs. B. Use the Faces scale to rate their pain C. Start with less intrusive methods. D. Be systematic and go in head to toe order.

Correct Answer is C

Explanation

A. Begin with taking all the vital signs.

This is not the preferred approach for assessing a 10-month-old infant. Vital signs may be intimidating and intrusive, and starting with less invasive methods is generally recommended.

B. Use the Faces scale to rate their pain.

The Faces scale is typically used for older children who can express themselves verbally. It may not be suitable for a 10-month-old infant.

C. Start with less intrusive methods.

This is the correct choice. Beginning with less intrusive methods, such as observation and gentle interactions, helps build trust and ensures the infant is comfortable during the assessment.

D. Be systematic and go in a head-to-toe order.

While being systematic is important, starting with less intrusive methods and adapting the approach based on the infant's response is generally more appropriate than a strict head-to-toe order.

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An infant with bronchiolitis is hospitalized. The causative organism is RSV. The nurse knows that a child infected with this virus requires the following isolation:

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Naxlex Comprehensive Predictor Exams

The father of a hospitalized child tells the nurse, "He can't have meat. We are Buddhist and vegetarians." The nurse's best intervention is to:

Correct Answer is D

Explanation

A nurse is planning to assess a 10 month-old infant and bases the assessment on which rationale?

Correct Answer is C

Explanation

Staff members working with school-aged children believe it is important for each child to understand and agree to medical treatment, even though they are a minor. The term for this process is:

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