The nurse-manager of a pediatric unit needs to assign a room for a 6-month-old diagnosed with respiratory syncytial virus (RSV). Which room assignment is best for the nurse-manager to make?
Double room with a 4-month-old who has RSV.
Private room with negative air pressure.
Private room furthest from the nurses station.
Double room with a 6-month-old on droplet precautions.
The Correct Answer is A
- A: Placing the 6-month-old with RSV in a double room with a 4-month-old who also has RSV is appropriate because they have the same infection, which reduces the risk of cross-infection with other pathogens. Cohorting patients with the same infectious disease is a common practice to prevent the spread to other patients.
- B: A private room with negative air pressure is typically used for patients who have airborne infections, which require a higher level of isolation to prevent the spread of diseases that are transmitted through the air. RSV is primarily spread through close contact and droplets, not through the air.
- C: A private room furthest from the nurse's station would not be ideal as it could delay care and observation for a young infant with a serious respiratory infection. Proximity to the nursing staff ensures prompt attention if the infant's condition changes.
- D: A double room with a 6-month-old on droplet precautions is not the best choice because it poses a risk of transmitting RSV to the other infant, who may not have RSV, leading to potential complications and further spread of infection within the unit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Hematocrit is a measure of the proportion of blood volume occupied by red blood cells. While it can provide information about anemia or dehydration, it is not typically the first consideration in evaluating numbness and tingling in the extremities.
Choice B: Reviewing albumin and protein levels may be important for assessing overall nutritional status and potential causes of neuropathy but is not the immediate priority when a client reports numbness and tingling in the extremities.
Choice C: White blood cell count (WBC) is important for assessing immune function and the presence of infections. However, it is not typically the primary focus when evaluating numbness and tingling in the extremities.
Choice D: Electrolytes, such as serum sodium and potassium levels, are crucial to review when a client reports numbness and tingling in the extremities. Abnormal electrolyte levels can lead to neurological symptoms, and a review of electrolyte levels can help identify potential causes.
Correct Answer is A
Explanation
Choice A: Keeping a record of food and drinks consumed daily, often referred to as food journaling or keeping a food diary, is a recommended initial approach to a weight loss plan. It helps clients become aware of their eating habits and can assist in identifying areas where dietary changes may be needed.
Choice B: Participating in a group exercise class 3 times a week is a beneficial component of a weight loss plan, but it is not specifically related to the initial approach to weight loss.
Choice C: Engaging in strenuous activity for an hour daily can be part of a weight loss plan, but it may not be the initial approach for everyone, especially if the client is not currently physically active. The initial approach often involves dietary changes and gradually increasing physical activity.
Choice D: Planning low carbohydrate and high protein meals can be a dietary strategy for weight loss, but it may not be the initial approach for all clients. Dietary recommendations should be individualized based on the client's preferences and needs.
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