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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Retesting in a week may be necessary, but notifying the public health department is a more immediate concern.
B. Notifying the public health department is essential for contact tracing and preventing the spread of syphilis.
C. Involving the patient's parents may not be appropriate for a 20-year-old patient.
D. Metronidazole is not typically used to treat syphilis; penicillin or other antibiotics are the standard treatment.
Correct Answer is C
Explanation
Rationale:
A. While osteomyelitis is a serious condition requiring treatment, receiving an IV bolus of nafcillin is not an urgent procedure compared to a neurological symptom like slurred speech.
B. Pain management is important, but a pain level of 7, while significant, does not indicate an immediate life-threatening situation.
C. Slurred speech in an adolescent with sickle cell anemia could indicate a neurological complication or a stroke, which requires immediate assessment and intervention.
D. Although the toddler with a partial-thickness burn needs care, it is not as urgent as assessing a potential neurological issue like slurred speech.
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