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 D
Explanation
Rationale:
A. Sweating is more commonly associated with hypoglycemia (low blood sugar) rather than hyperglycemia (high blood sugar).
B. Tremors are more commonly associated with hypoglycemia.
C. Pallor is not typically associated with hyperglycemia.
D. Thirst (polydipsia) is a classic symptom of hyperglycemia in diabetes mellitus, as the body tries to dilute the excess sugar in the bloodstream by increasing fluid intake.
Correct Answer is D
Explanation
Rationale:
A. While informing the client to contact the pharmacy is appropriate, it does not address the immediate need for understanding the medication.
B. Providing instructions to the client's parent may not respect the adolescent's autonomy and privacy regarding their healthcare.
C. Instructing the client's parents to write down the information may not involve the adolescent in the learning process or address their individual needs.
D. Asking how the client prefers to learn new information demonstrates respect for the adolescent's autonomy and preferences, facilitating effective communication and understanding.
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