The nurse is reviewing a client’s chart and notes that the child is in droplet precautions for pneumonia. What protection would she need to take in caring for the child?
Gown, handwashing, and gloves
Handwashing and gloves
Mask and handwashing
Gown, gloves, and mask
The Correct Answer is C
Choice A reason: Gown, handwashing, and gloves are used for contact precautions, not droplet precautions, which require a mask to prevent respiratory droplet transmission. Pneumonia spreads via droplets, making gowns and gloves excessive, and this combination incorrect for the specific infection control needed in this scenario.
Choice B reason: Handwashing and gloves protect against contact transmission but do not address respiratory droplets in pneumonia, which requires a mask. Droplet precautions prioritize airway protection, making this incomplete and incorrect for the nurse’s protective measures in caring for a child with pneumonia.
Choice C reason: Droplet precautions for pneumonia require a mask to block respiratory droplets and handwashing to prevent fomite transmission. This combination aligns with infection control guidelines for droplet-borne infections, making it the correct choice for the nurse’s protective measures in this clinical scenario.
Choice D reason: Gown, gloves, and mask are used for airborne or contact precautions, not droplet precautions. Pneumonia requires only a mask and handwashing, as droplets are the primary transmission mode, making this excessive and incorrect for the specific precautions needed for this child’s care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Airborne transmission involves pathogens spread through respiratory droplets, not insects. Insect-borne pathogens are vector transmission, making this incorrect, as it misidentifies the mechanism for diseases like malaria spread by mosquitoes in the nurse’s presentation on pathogen spread.
Choice B reason: Vehicle transmission involves contaminated objects or food, not insects. Pathogens spread by insects are via vector transmission, making this incorrect, as it does not describe the role of insects in pathogen spread in the nurse’s presentation on transmission mechanisms.
Choice C reason: Vector transmission occurs when insects like mosquitoes carry pathogens between hosts, a key mechanism for diseases like dengue. This aligns with infectious disease principles, making it the correct term for the nurse to illustrate in the presentation on how pathogens are spread.
Choice D reason: Contact transmission involves direct touch or surfaces, not insects. Vector transmission correctly describes insect-borne spread, making this incorrect, as it does not apply to the role of insects in pathogen transmission in the nurse’s educational presentation.
Correct Answer is A
Explanation
Choice A reason: Half an aspirin with a viral infection poses a small Reye syndrome risk, warranting monitoring for symptoms like lethargy or vomiting. This aligns with pediatric safety guidelines, making it the best response to inform the mother while ensuring vigilance for the 9-year-old’s health.
Choice B reason: Nasal discharge and sneezing are unrelated to Reye syndrome, which involves neurological symptoms like stupor. Monitoring for lethargy or vomiting is correct, making this incorrect, as it lists irrelevant symptoms for the mother’s concern about Reye syndrome in her child.
Choice C reason: Admitting for observation overstates the risk, as a single half aspirin rarely causes Reye syndrome. Monitoring for specific symptoms is sufficient, making this alarmist and incorrect compared to the nurse’s balanced response to the mother’s concern about the viral infection.
Choice D reason: Downplaying the risk as unlikely ignores the potential, though rare, link between aspirin and Reye syndrome in viral infections. Monitoring for symptoms is prudent, making this dismissive and incorrect compared to advising vigilance for the 9-year-old’s safety post-aspirin use.
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