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 A
Explanation
Choice A reason: Infancy is marked by rapid physical and skill development, with milestones like crawling and babbling occurring quickly. This aligns with pediatric developmental assessments, making it the correct characteristic for the nurse to monitor, ensuring infants meet critical growth benchmarks during routine evaluations.
Choice B reason: Insisting on independence with dependence reversion is typical of toddlers, not infants, who lack such autonomy. Rapid skill growth defines infancy, making this incorrect, as it describes a later developmental stage rather than the nurse’s focus for infant growth and development assessments.
Choice C reason: Rapid information intake and questioning “why” and “how” characterize preschoolers, not infants, who lack verbal curiosity. Rapid skill development is the infant focus, making this incorrect, as it applies to older children rather than the nurse’s assessment of infant developmental characteristics.
Choice D reason: Increased attention span is seen in older children, not infants, who have short attention spans. Rapid growth and skill acquisition define infancy, making this incorrect, as it does not reflect the developmental characteristics the nurse should assess in infants during pediatric evaluations.
Correct Answer is C
Explanation
Choice A reason: Infant sebaceous and sweat glands are not fully functional, developing postnatally. The skin’s role in temperature regulation is accurate, making this incorrect, as it misstates infant integumentary function in the instructor’s presentation to student nurses on the system’s role.
Choice B reason: The integumentary system is present at birth, though maturing over time, not absent until after birth. Temperature regulation is a key function, making this incorrect, as it exaggerates the system’s developmental timeline in the instructor’s presentation on the integumentary system.
Choice C reason: The skin, the body’s largest organ, regulates temperature through sweating and vasodilation, a primary integumentary function. This aligns with physiological principles, making it the most accurate statement for the instructor to present to student nurses about the integumentary system’s role.
Choice D reason: Oxygen distribution is a respiratory and circulatory function, not integumentary. The skin’s temperature regulation is correct, making this incorrect, as it misattributes a role to the integumentary system in the instructor’s presentation to student nurses on its physiological functions.
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