A charge nurse is observing a staff nurse who is caring for a child who has pertussis.
Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Maintains droplet precautions while the child is coughing and sneezing
Applies a face mask after entering the child's room
Wears gloves when assisting the child to the bathroom
Follows airborne precautions by wearing an N95 respirator while caring for the child
The Correct Answer is A
Rationale:
A. Maintaining droplet precautions while the child is coughing and sneezing is appropriate because pertussis is primarily transmitted via respiratory droplets. Droplet precautions include wearing a surgical mask when within 3 feet of the patient to prevent droplet transmission.
B. Applying a face mask after entering the child's room is not necessary if droplet precautions are already being followed during periods of coughing and sneezing.
C. Wearing gloves when assisting the child to the bathroom is not directly related to preventing the spread of pertussis, which is primarily transmitted via respiratory droplets.
D. Airborne precautions with an N95 respirator are not indicated for pertussis, as it is not transmitted via airborne particles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Providing for periods of rest is important to conserve energy in children with heart failure.
B. Increasing the oxygen flow rate until cyanosis resolves may not be appropriate without medical guidance.
C. Digoxin should not be withheld without consulting the healthcare provider. It is essential to follow the prescribed regimen and contact the provider if there are concerns about the child's pulse rate.
D. Weighing the child once each month may not be frequent enough for monitoring fluid status in a child with heart failure. More frequent weight monitoring may be necessary as per the healthcare provider's recommendations.
Correct Answer is D
Explanation
A. Rhinorrhea (runny nose) is a common symptom of respiratory syncytial virus (RSV) and may not require immediate reporting unless severe or accompanied by other concerning symptoms.
B. Pharyngitis (sore throat) is not typically considered a critical finding in RSV infection.
C. Coughing is a common symptom of RSV and is expected in infants with the infection. While coughing may require monitoring, it is not typically an immediate cause for concern unless severe.
D. Tachypnea (rapid breathing) is a concerning finding in infants with RSV infection, especially if it is severe or accompanied by signs of respiratory distress. Severe tachypnea may indicate worsening respiratory compromise and requires immediate attention and reporting to the healthcare provider for further evaluation and management.
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