The nurse is caring for an infant who has impetigo and is hospitalized. Which nursing intervention is the highest priority for this child?
The nurse applies elbow restraints to the infant.
The nurse soaks the skin with warm water.
The nurse follows contact precautions.
The nurse applies topical antibiotics to the lesions.
The Correct Answer is C
A. The nurse applies elbow restraints to the infant:
The use of elbow restraints is not a standard intervention for impetigo. Restraints are typically used for specific medical reasons, such as preventing the infant from interfering with medical equipment or procedures. It is not the highest priority in managing impetigo.
B. The nurse soaks the skin with warm water:
Soaking the skin with warm water can help in keeping the affected areas clean and promoting healing, but it is not the highest priority when considering the prevention of the spread of impetigo.
C. The nurse follows contact precautions:
Following contact precautions is the highest priority when dealing with impetigo. Since impetigo is highly contagious, implementing contact precautions, such as wearing appropriate PPE, is crucial to prevent the spread of the infection within the hospital setting.
D. The nurse applies topical antibiotics to the lesions:
Applying topical antibiotics is an important part of the treatment for impetigo. It helps to eliminate the bacterial infection and promote healing. However, while important, it is not the highest priority compared to preventing the spread of the infection through contact precautions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The child has the beginning signs of tooth eruption:
Teething usually begins around 4-7 months of age, so the beginning signs of tooth eruption (teething) are typical at six months.
B. The child is able to track and follow objects:
By six months, most infants can track and follow objects with their eyes, which is a normal developmental milestone for this age.
C. The child’s anterior fontanel is open:
The anterior fontanelle, the soft spot at the top of the baby's head, remains open until around 18-24 months of age, so its presence at six months is expected and considered normal.
D. The child’s posterior fontanel is open.
By six months of age, the posterior fontanelle, the soft spot located at the back of the baby's head, typically closes or is significantly smaller than it was at birth. The posterior fontanelle usually closes between 2 to 4 months of age in most infants. If it remains noticeably open by six months, it might warrant further evaluation as it could be indicative of a developmental or medical issue.
Correct Answer is A
Explanation
A. “I feel better knowing that her curiosity is normal.”
This comment reflects an understanding and acceptance of the normal curiosity and exploration that is part of sexual development in children. It acknowledges that curiosity about one's body is a natural aspect of growing up.
B. “When I find my son masturbating, I will tell him that is unacceptable.”
This statement may convey a negative and shaming attitude toward a normal behavior. It is important to approach discussions about masturbation with sensitivity and openness, emphasizing privacy and appropriate contexts.
C. “I will tell my daughter that she will have time to explore her body as she gets older.”
This statement acknowledges the importance of age-appropriate discussions about sexual development. It conveys a supportive and understanding approach to the child's evolving understanding of their body.
D. “I will encourage my son to ask his father any questions that are sexual in nature.”
While open communication is essential, it's important to create an environment where the child feels comfortable talking to both parents about sexual development. Encouraging communication with both parents is a positive approach.
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