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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Child Abuse
While the presence of welts might be concerning, it is essential for the nurse to consider cultural practices before labeling the situation as child abuse. In this case, the coin rubbing is described as a cultural practice rather than an abusive act.
B. A cultural practice to rid the body of disease.
This is the correct choice. Coin rubbing, or "coining," is a cultural practice in some traditions, including Vietnamese culture. It is believed to have therapeutic benefits and is used to address health concerns.
C. A child discipline measure common in Asian cultures.
The scenario does not provide evidence that the coin rubbing is a form of discipline. It seems to be described as a traditional health practice rather than a disciplinary measure.
D. A cultural practice to treat temper tantrums.
The scenario does not indicate that the coin rubbing is related to treating temper tantrums. It appears to be described as a health-related cultural practice rather than a disciplinary measure.
Correct Answer is D
Explanation
A. Document B/P not obtained because the child was in the playroom.
This is not the best option. The nurse should attempt to obtain the blood pressure as part of routine monitoring.
B. Take the child back to their room, take their B/P and then take them back to the playroom.
This may disrupt the child's play and is not the most efficient approach for routine blood pressure monitoring.
C. Take the child to the treatment room.
This might be unnecessary for a routine blood pressure check and could cause unnecessary anxiety for the child.
D. Take the B/P in the playroom.
This is the best intervention. If possible, taking the blood pressure in the playroom allows the child to remain in a familiar and comfortable environment, reducing anxiety and promoting cooperation.
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