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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A.While cystic fibrosis is characterized by a high concentration of sodium chloride in sweat due to defective chloride channels, this is not the cause of the barrel chest and clubbing of the fingers.

B.The barrel chest and clubbing of the fingers are often seen in children with cystic fibrosis due to chronic hypoxia (lack of oxygen). Chronic lung infections, airway obstruction, and respiratory insufficiency associated with cystic fibrosis lead to prolonged low oxygen levels, which can result in these physical changes.

C.Decreased respiratory capacity, often due to the chronic respiratory issues associated with cystic fibrosis, can result in a barrel chest (increased chest diameter due to air trapping) and clubbing of the fingers (a sign of chronic hypoxia).

D.Decreased respiratory capacity (due to thick mucus and airway obstruction) does contribute to chronic respiratory issues in cystic fibrosis, but the direct cause of the barrel chest and clubbing is the chronic lack of oxygen (hypoxia) rather than decreased capacity alone. The changes in the chest and fingers are a result of prolonged oxygen deprivation.

A. Playing in an organized group with each other B. Playing independently and are side by side C. Playing apart from others without being part of a group D. Playing together in an activity without organization

Correct Answer is B

Explanation

A. Playing in an organized group with each other:

Toddlers typically engage in parallel play rather than organized group play. They may play near each other, but their interactions are often individual rather than coordinated in an organized group.

B. Playing independently and are side by side:

This is an accurate description of parallel play. Toddlers often play independently but are aware of and interested in what their peers are doing. They may play side by side without direct interaction.

C. Playing apart from others without being part of a group:

This option describes solitary play, where a child plays alone and does not actively engage with others. While solitary play is also common, parallel play is more characteristic of toddlers.

D. Playing together in an activity without organization:

This may describe a form of cooperative play, where children engage in an activity together. However, for toddlers, the organized aspect of play is less typical. Parallel play, where they play side by side but independently, is more common.

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The nurse is caring for an infant who has impetigo and is hospitalized. Which nursing intervention is the highest priority for this child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The student nurse is collecting data on a child diagnosed with cystic fibrosis and notes the child has a barrel chest and clubbing of the fingers. In explaining this manifestation of the disease, the staff nurse explains the cause of this symptom to be:

Correct Answer is B

Explanation

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

Correct Answer is B

Explanation

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