CHAPTER 37 NURSING CARE OF TH CHILD
WITH AN INFECTIOUS OR
COMMUNICABLE DISORDER REAL EXAM
QUESTIONS AND EXPLAINED ANSWERS.
When developing the plan of care for a 5-year-old boy with Rocky Mountain
spotted fever, the nurse knows the cause of the illness is:
infection with group A streptococcus.
the bite of a tick.
contact with contaminated sports equipment.
an animal bite. - CorreCt Answers -the bite of a tick.
Explanation:
Rocky Mountain spotted fever is a tick-borne infection. Rabies is due to the
bite of an animal. Community-acquired methicillin-resistant
Staphylococcus aureus (MRSA) is transmitted through direct person-to-
person contact, respiratory droplets, blood, or sharing of personal items
and touching surfaces or items contaminated with MRSA. Scarlet fever is
an infection resulting from group A streptococcus.
A 10-year-old girl with long hair is brought to the emergency room because
she began acting irritable, reported a headache, and was very sleepy. Which
question is most appropriate for the nurse to ask the parents?
"What medications is she currently taking?"
"Has she done this before?"
,"How long has she been acting like this?"
"What were you doing prior to her beginning to feel sick?" - CorreCt Answers -
"What were you doing prior to her beginning to feel sick?"
Explanation:
If the family had been camping or in a wooded area, the girl could have
been bitten by a tick which would not be easy to discover because of her
long hair. Ticks like dark, hair-covered areas and the signs and symptoms
presented are neurological, with a rapid onset, which can be characteristic
of a tick bite. The other questions are important but are not focusing on the
causative agent.
The nurse is caring for a 7-year-old child in droplet precautions due to the
diagnosis of pertussis. While visiting the child, which actions by the parents
require the nurse to intervene?
Select all that apply.
The parents state, "We should postpone immunizing our 5-year-old since
there has been contact with the infection."
The parents remove their personal protective equipment (PPE) at the door
before exiting, then wash their hands.
The parents wear a respiratory mask when entering their child's room.
The parents state, "We will be sure to finish any antibiotic if our child is
sent home with a prescription."
The parents state, "We have been limiting our child's fluids to help decrease
the amount of coughing." - CorreCt Answers -The parents state, "We should
postpone immunizing our 5-year-old since there has been contact with the
infection."
,The parents state, "We have been limiting our child's fluids to help decrease
the amount of coughing."
Explanation:
All close contacts who are younger than 7 years of age and who are
unimmunized or underimmunized should have pertussis immunization
initiated or the series completed according to the recommended dosing
schedule. Fluids should be increased in order to help thin secretions and
prevent dehydration during the infection. The parents are correct in
removing their PPE at the door and washing their hands when leaving the
room, and wearing a mask. All antibiotics should be finished in order to
treat the infection adequately and prevent immunity to antibiotics.
The nurse is educating parents of a child admitted to the hospital with
rubella (German measles). Which statement by the parents indicates the
further education is needed?
"Acetaminophen or ibuprofen can be given to help with pain."
"Antibiotics are needed to help our child recover from rubella."
"Our child is contagious for 1 week after the rash appeared."
"Family members should wear a mask when coming to visit us." - CorreCt
Answers -"Antibiotics are needed to help our child recover from rubella."
Explanation:
Rubella (German measles) is caused by the rubella virus. Children will be
contagious for 1 week before to approximately 1 week after the rash
appears. Acetaminophen or ibuprofen can be given to help with pain or
fever, and the child will be on droplet precautions (mask) while in the
hospital.
, A nursing instructor is teaching the students about the standard and
transmission-based precautions. What type of precautions require placing a
client in an isolated room with limited access, wearing gloves during
contact with the client and all body fluids or contaminated items, wearing
two layers of protective clothing, and avoiding sharing equipment between
clients?
Droplet precautions
Standard precautions
Contact precautions
Airborne precautions - CorreCt Answers -Contact precautions
Explanation:
Contact precautions means placing the client in an isolation room with
limited access, wearing gloves during contact with the client and all body
fluids, wearing two layers of protective clothing, limiting movement of the
client from the room, and avoiding sharing equipment between clients.
Standard precautions are used with every client. They involve good
handwashing and the use of gloves for client contact. Airborne precautions
are used for diseases where small particles are dispersed in the air. They
require that the client be in a negative-pressure room and, in addition to
standard personal protective equipment, the mask should be N95 or higher.
Varicella would need airborne precautions. Droplet precautions are used
for diseases such as pertussis, which produce large droplets. They require
standard precautions plus a surgical mask, preferably with a face shield.
Nursing students are learning about the infectious process. They correctly
identify the first stage of an infectious disease to be which period?
Illness period
WITH AN INFECTIOUS OR
COMMUNICABLE DISORDER REAL EXAM
QUESTIONS AND EXPLAINED ANSWERS.
When developing the plan of care for a 5-year-old boy with Rocky Mountain
spotted fever, the nurse knows the cause of the illness is:
infection with group A streptococcus.
the bite of a tick.
contact with contaminated sports equipment.
an animal bite. - CorreCt Answers -the bite of a tick.
Explanation:
Rocky Mountain spotted fever is a tick-borne infection. Rabies is due to the
bite of an animal. Community-acquired methicillin-resistant
Staphylococcus aureus (MRSA) is transmitted through direct person-to-
person contact, respiratory droplets, blood, or sharing of personal items
and touching surfaces or items contaminated with MRSA. Scarlet fever is
an infection resulting from group A streptococcus.
A 10-year-old girl with long hair is brought to the emergency room because
she began acting irritable, reported a headache, and was very sleepy. Which
question is most appropriate for the nurse to ask the parents?
"What medications is she currently taking?"
"Has she done this before?"
,"How long has she been acting like this?"
"What were you doing prior to her beginning to feel sick?" - CorreCt Answers -
"What were you doing prior to her beginning to feel sick?"
Explanation:
If the family had been camping or in a wooded area, the girl could have
been bitten by a tick which would not be easy to discover because of her
long hair. Ticks like dark, hair-covered areas and the signs and symptoms
presented are neurological, with a rapid onset, which can be characteristic
of a tick bite. The other questions are important but are not focusing on the
causative agent.
The nurse is caring for a 7-year-old child in droplet precautions due to the
diagnosis of pertussis. While visiting the child, which actions by the parents
require the nurse to intervene?
Select all that apply.
The parents state, "We should postpone immunizing our 5-year-old since
there has been contact with the infection."
The parents remove their personal protective equipment (PPE) at the door
before exiting, then wash their hands.
The parents wear a respiratory mask when entering their child's room.
The parents state, "We will be sure to finish any antibiotic if our child is
sent home with a prescription."
The parents state, "We have been limiting our child's fluids to help decrease
the amount of coughing." - CorreCt Answers -The parents state, "We should
postpone immunizing our 5-year-old since there has been contact with the
infection."
,The parents state, "We have been limiting our child's fluids to help decrease
the amount of coughing."
Explanation:
All close contacts who are younger than 7 years of age and who are
unimmunized or underimmunized should have pertussis immunization
initiated or the series completed according to the recommended dosing
schedule. Fluids should be increased in order to help thin secretions and
prevent dehydration during the infection. The parents are correct in
removing their PPE at the door and washing their hands when leaving the
room, and wearing a mask. All antibiotics should be finished in order to
treat the infection adequately and prevent immunity to antibiotics.
The nurse is educating parents of a child admitted to the hospital with
rubella (German measles). Which statement by the parents indicates the
further education is needed?
"Acetaminophen or ibuprofen can be given to help with pain."
"Antibiotics are needed to help our child recover from rubella."
"Our child is contagious for 1 week after the rash appeared."
"Family members should wear a mask when coming to visit us." - CorreCt
Answers -"Antibiotics are needed to help our child recover from rubella."
Explanation:
Rubella (German measles) is caused by the rubella virus. Children will be
contagious for 1 week before to approximately 1 week after the rash
appears. Acetaminophen or ibuprofen can be given to help with pain or
fever, and the child will be on droplet precautions (mask) while in the
hospital.
, A nursing instructor is teaching the students about the standard and
transmission-based precautions. What type of precautions require placing a
client in an isolated room with limited access, wearing gloves during
contact with the client and all body fluids or contaminated items, wearing
two layers of protective clothing, and avoiding sharing equipment between
clients?
Droplet precautions
Standard precautions
Contact precautions
Airborne precautions - CorreCt Answers -Contact precautions
Explanation:
Contact precautions means placing the client in an isolation room with
limited access, wearing gloves during contact with the client and all body
fluids, wearing two layers of protective clothing, limiting movement of the
client from the room, and avoiding sharing equipment between clients.
Standard precautions are used with every client. They involve good
handwashing and the use of gloves for client contact. Airborne precautions
are used for diseases where small particles are dispersed in the air. They
require that the client be in a negative-pressure room and, in addition to
standard personal protective equipment, the mask should be N95 or higher.
Varicella would need airborne precautions. Droplet precautions are used
for diseases such as pertussis, which produce large droplets. They require
standard precautions plus a surgical mask, preferably with a face shield.
Nursing students are learning about the infectious process. They correctly
identify the first stage of an infectious disease to be which period?
Illness period
