Saunders Latest Update Comprehensive
Questions with Correct Answers
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"I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the
spread of the virus to them."
Pertussis is transmitted by direct contact or respiratory droplets from coughing. The infectious period
occurs during the catarrhal stage (from the first to second week until the fourth week). Respiratory
isolation is not required during the convalescent stage. - Answer -A child hospitalized with
pertussis is in the convalescent stage, and the nurse is preparing the child for discharge. The nurse has
provided instructions to the parents for home care of the child. Which statement by a parent indicates a
need for further teaching?
"It is important that my child drinks plenty of fluids."
"A quiet environment helps to prevent episodes of coughing spells."
"We need to teach the other members of the family how to use good hand washing techniques to
prevent the spread of infection."
"I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the
spread of the virus to them."
"I need to stop breast-feeding as soon as possible."
To decrease the risk of recurrent otitis media, mothers should be encouraged to breast-feed during
infancy, discontinue bottle-feeding as soon as possible, feed the infant in an upright position, and never
give the infant a bottle in bed. Additionally, parents should be told not to smoke in the child's presence
because passive smoking increases the incidence of otitis media. - Answer -The nurse is assisting in
providing an educational session to new mothers regarding the methods that will decrease the risk of
recurrent otitis media in infants. Which statement by a mother in the group indicates a need for further
teaching?
,"I need to feed my infant in an upright position."
"I need to stop breast-feeding as soon as possible."
"Bottle-feeding should be stopped as soon as possible."
"I should not provide my infant with a bottle during naptime."
"My child can swim in the lake or pool as long as the water is not too deep."
Bath water and lake water are potential sources of bacterial contamination. Diving and swimming deeply
under water are prohibited. Parents need to be instructed that the child should not blow the nose for 7
to 10 days. The child's ears need to be kept dry, and Vaseline on cotton balls or earplugs can be placed in
the ears during a bath or shower. - Answer -The nurse provides discharge instructions to the
mother of a child following a myringotomy with insertion of tympanoplasty tubes. Which statement by
the mother indicates the need for further teaching?
"My child should not swim or dive in deep water."
"I need to prevent my child from blowing the nose."
"My child can swim in the lake or pool as long as the water is not too deep."
"I will put Vaseline on cotton balls and place them in my child's ears before a bath."
"Precautions are indicated during the period of communicability."
Mumps is transmitted via direct contact with or droplet spread from an infected person. Droplet
precautions are indicated during the period of communicability (immediately before and after swelling
begins); therefore, all other options are incorrect. - Answer -The nurse provides instructions to the
mother of a child with mumps regarding respiratory precautions, and the mother asks the nurse about
the length of time required for the respiratory precautions. The nurse should make which statement to
the mother?
, "Precautions are not necessary once the swelling appears."
"Precautions are not necessary before the swelling begins."
"Precautions are indicated during the period of communicability."
"Precautions are indicated for 20 days following the onset of parotid swelling."
"She can receive it when she is 12 months old." - Answer -The nurse is providing anticipatory
guidance to the mother of a 10-month-old child. The mother asks how soon her daughter will be able to
receive the chickenpox (varicella) vaccine. What is the best nursing response?
"She will receive it today."
"She can receive it when she is 12 months old."
"She can receive it any time before her first birthday."
"She will receive it before entry into kindergarten, at 4 to 6 years of age."
"The disease can be spread to others from 10 days before any sign of the disease appears to 15 days
after the rash appears."
The communicable period for rubeola ranges from 4 days before to 5 days after the rash appears, mainly
during the prodromal stage. All other options are accurate descriptions of rubeola, so they would not
indicate a need for further teaching. The small blue-white spots found in this communicable disease are
called Koplik's spots. The incorrect option describes the incubation period for rubella, not rubeola. -
Answer -Several children have contracted rubeola (measles) in a local school, and the school nurse
conducts a teaching session for the parents of the schoolchildren. Which statement made by a parent
indicates a need for further teaching regarding this communicable disease?
"Small blue-white spots with a red base may appear in the mouth."
Questions with Correct Answers
Guaranteed Pass
"I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the
spread of the virus to them."
Pertussis is transmitted by direct contact or respiratory droplets from coughing. The infectious period
occurs during the catarrhal stage (from the first to second week until the fourth week). Respiratory
isolation is not required during the convalescent stage. - Answer -A child hospitalized with
pertussis is in the convalescent stage, and the nurse is preparing the child for discharge. The nurse has
provided instructions to the parents for home care of the child. Which statement by a parent indicates a
need for further teaching?
"It is important that my child drinks plenty of fluids."
"A quiet environment helps to prevent episodes of coughing spells."
"We need to teach the other members of the family how to use good hand washing techniques to
prevent the spread of infection."
"I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the
spread of the virus to them."
"I need to stop breast-feeding as soon as possible."
To decrease the risk of recurrent otitis media, mothers should be encouraged to breast-feed during
infancy, discontinue bottle-feeding as soon as possible, feed the infant in an upright position, and never
give the infant a bottle in bed. Additionally, parents should be told not to smoke in the child's presence
because passive smoking increases the incidence of otitis media. - Answer -The nurse is assisting in
providing an educational session to new mothers regarding the methods that will decrease the risk of
recurrent otitis media in infants. Which statement by a mother in the group indicates a need for further
teaching?
,"I need to feed my infant in an upright position."
"I need to stop breast-feeding as soon as possible."
"Bottle-feeding should be stopped as soon as possible."
"I should not provide my infant with a bottle during naptime."
"My child can swim in the lake or pool as long as the water is not too deep."
Bath water and lake water are potential sources of bacterial contamination. Diving and swimming deeply
under water are prohibited. Parents need to be instructed that the child should not blow the nose for 7
to 10 days. The child's ears need to be kept dry, and Vaseline on cotton balls or earplugs can be placed in
the ears during a bath or shower. - Answer -The nurse provides discharge instructions to the
mother of a child following a myringotomy with insertion of tympanoplasty tubes. Which statement by
the mother indicates the need for further teaching?
"My child should not swim or dive in deep water."
"I need to prevent my child from blowing the nose."
"My child can swim in the lake or pool as long as the water is not too deep."
"I will put Vaseline on cotton balls and place them in my child's ears before a bath."
"Precautions are indicated during the period of communicability."
Mumps is transmitted via direct contact with or droplet spread from an infected person. Droplet
precautions are indicated during the period of communicability (immediately before and after swelling
begins); therefore, all other options are incorrect. - Answer -The nurse provides instructions to the
mother of a child with mumps regarding respiratory precautions, and the mother asks the nurse about
the length of time required for the respiratory precautions. The nurse should make which statement to
the mother?
, "Precautions are not necessary once the swelling appears."
"Precautions are not necessary before the swelling begins."
"Precautions are indicated during the period of communicability."
"Precautions are indicated for 20 days following the onset of parotid swelling."
"She can receive it when she is 12 months old." - Answer -The nurse is providing anticipatory
guidance to the mother of a 10-month-old child. The mother asks how soon her daughter will be able to
receive the chickenpox (varicella) vaccine. What is the best nursing response?
"She will receive it today."
"She can receive it when she is 12 months old."
"She can receive it any time before her first birthday."
"She will receive it before entry into kindergarten, at 4 to 6 years of age."
"The disease can be spread to others from 10 days before any sign of the disease appears to 15 days
after the rash appears."
The communicable period for rubeola ranges from 4 days before to 5 days after the rash appears, mainly
during the prodromal stage. All other options are accurate descriptions of rubeola, so they would not
indicate a need for further teaching. The small blue-white spots found in this communicable disease are
called Koplik's spots. The incorrect option describes the incubation period for rubella, not rubeola. -
Answer -Several children have contracted rubeola (measles) in a local school, and the school nurse
conducts a teaching session for the parents of the schoolchildren. Which statement made by a parent
indicates a need for further teaching regarding this communicable disease?
"Small blue-white spots with a red base may appear in the mouth."
