What nursing action is appropriate when treating a hospitalized child with pediculosis?
No precautions are needed.
Wear gown, gloves, and hair cover.
Isolate the child in a negative-pressure room.
Wear gloves only.
The Correct Answer is D
Choice A rationale
Pediculosis, an infestation of lice, is highly contagious through direct contact, especially head-to-head contact. Therefore, no precautions are insufficient to prevent the spread of lice to healthcare workers and other patients. Standard precautions are necessary.
Choice B rationale
Wearing a gown and hair cover is not typically required for routine care of a child with pediculosis. Standard precautions, including gloves to prevent direct contact with the child's hair and scalp, are generally sufficient. Gowns are usually indicated when there is a risk of contact with body fluids or secretions.
Choice C rationale
Isolating the child in a negative-pressure room is reserved for airborne infections, such as tuberculosis or measles. Pediculosis is transmitted through direct contact, not airborne droplets, so isolation in a negative-pressure room is unnecessary and inappropriate.
Choice D rationale
Wearing gloves is the appropriate nursing action when treating a hospitalized child with pediculosis. Gloves prevent direct contact with the lice and their eggs (nits) during examination and treatment of the scalp and hair, thus minimizing the risk of transmission to the healthcare worker. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Providing tummy time immediately after each feeding is generally discouraged for infants, especially those with reflux or colic-like symptoms. It can increase pressure on the abdomen and potentially worsen discomfort or lead to spitting up. Tummy time is beneficial for development but should be done when the infant is awake and not immediately after eating.
Choice B rationale
Changing the infant's formula to a soy-based formula is not a first-line recommendation for managing inconsolable crying in a 6-week-old with a normal physical exam and weight gain. While some infants may have sensitivities to cow's milk protein, a formula change should only be considered after other potential causes, like colic, have been explored and under the guidance of a healthcare provider.
Choice C rationale
Administering omeprazole drops, a proton pump inhibitor that reduces stomach acid, is not indicated for a 6-week-old infant with inconsolable crying, normal weight gain, and feeding. Omeprazole is used to treat conditions like gastroesophageal reflux disease (GERD) with documented symptoms beyond typical infant spitting up. Routine use for crying is not recommended and could have potential side effects.
Choice D rationale
Offering soothing techniques such as swaddling and rhythmic rocking are evidence-based interventions for managing inconsolable crying in young infants, often associated with colic. Swaddling provides a sense of security, mimicking the womb, while rhythmic rocking can be calming and help regulate the infant's nervous system. These non-pharmacological approaches are recommended as initial management strategies for unexplained crying in healthy infants.
Correct Answer is D
Explanation
Choice D rationale
Absence seizures, also known as petit mal seizures, are characterized by a sudden, brief lapse of consciousness, often accompanied by eye blinking or a vacant stare. The individual typically returns to full awareness quickly without any postictal confusion. .
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