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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Rationale:

A. Observing the child's throat with a flashlight is necessary to detect any bleeding.

B. Giving the child small sips of water helps soothe the throat and promote hydration but it does not address the risk of bleeding as a complication of tonsillectomy.

C. Administering an analgesic may be indicated if the child is experiencing pain, but the throat should be assessed for any bleeding first.

D. Offering the child an ice collar may provide comfort, but assessing the throat for any bleeding is more essential.

A. Cyanosis B. Weight loss C. Bounding peripheral pulses D. Dyspnea E. Tachycardia

Correct Answer is ["A","D","E"]

Explanation

Rationale:

A. Cyanosis can occur in children with heart failure due to inadequate oxygenation of tissues.

B. Weight gain or fluid retention is more common in children with heart failure.

C. Bounding pulses are more commonly associated with conditions such as hypertension or hyperthyroidism, rather than heart failure.

D. Dyspnea, or difficulty breathing, is a common symptom of heart failure due to fluid buildup in the lungs.

E. Tachycardia, or a rapid heart rate, can occur as a compensatory mechanism in response to decreased cardiac output in heart failure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect?Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

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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?