When admitting a 4-year-old patient to the hospital, the nurse learns that the child was exposed to chicken pox three days ago. Which understanding about chicken pox should the nurse consider during room assignment?
Strict isolation should begin immediately after exposure.
Communicability begins prior to the eruption of lesions.
Strict isolation should begin as soon as the skin lesions erupt.
Communicability begins 14 days after exposure.
The Correct Answer is B
Choice A rationale:
Strict isolation should begin immediately after exposure. This choice is incorrect because chickenpox does not require strict isolation immediately after exposure. The incubation period of chickenpox is about 10-21 days, during which communicability has not yet begun.
Choice B rationale:
Communicability begins prior to the eruption of lesions. This choice is correct. Chickenpox is highly contagious, and individuals can transmit the virus to others even before the characteristic skin lesions appear. This understanding is crucial for appropriate room assignment to prevent the spread of the virus to other patients.
Choice C rationale:
Strict isolation should begin as soon as the skin lesions erupt. This choice is incorrect. While isolation precautions are necessary for patients with active chickenpox lesions, waiting until the lesions erupt is not sufficient to prevent transmission, as communicability starts before this stage.
Choice D rationale:
Communicability begins 14 days after exposure. This choice is incorrect. The correct timing for the onset of communicability is much earlier than 14 days after exposure. Waiting until this point for isolation would not effectively prevent transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Allowing the patient to stay in the chosen position might not be the best approach, as the child's preference might not align with therapeutic considerations for managing status asthmaticus.
Choice B rationale:
Semi-Fowler's position, with the head of the bed elevated, promotes improved lung expansion and easier breathing for patients with respiratory distress. Explaining the rationale behind this position to the child helps them understand its therapeutic benefits, encouraging compliance.
Choice C rationale:
Demonstrating various positions could confuse the child and delay appropriate intervention. A clear explanation of the preferred position is more effective in this critical situation.
Choice D rationale:
Removing pillows might be counterproductive, as elevating the head of the bed is beneficial for respiratory distress. This choice contradicts the therapeutic goal.
Correct Answer is D
Explanation
Choice A rationale:
Wet diapers are a sign of hydration, not necessarily nutrition sufficiency.
Choice B rationale:
Introducing solids too early can lead to various issues; it's not linked to sleep improvement.
Choice C rationale:
Cow's milk isn't suitable for a newborn's consumption due to the potential for allergies and digestive issues.
Choice D rationale:
This choice accurately reflects hunger cues in a newborn, demonstrating an understanding of proper feeding.
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