Deck 39: Child With a Communicable Disease

Question 1

Which nursing action is appropriate when providing care to a pediatric patient who is on expanded contact precautions?

A) Using soap and water for hand hygiene
B) Wearing a mask when within 3 feet of the patient
C) Wearing shoe protection
D) Using alcohol-based sanitizer for hand hygiene

Answer 1

Using soap and water for hand hygiene

Question 2

A child who has not had a tetanus immunization steps on a rusty nail.Which term should the nurse use to identify the tetanus immunization when teaching the parents about the vaccine?

A) Toxoid
B) Live virus
C) Killed virus
D) Recombinant

Answer 2

Toxoid

Question 3

Which personal protective equipment (PPE)should the nurse don when providing care within 3 feet of a pediatric patient who is on droplet precautions?

A) Gown
B) Gloves
C) Mask
D) Eye shield

Answer 3

Mask

Question 4

The pediatric nurse concludes parent teaching about children and influenza by asking: "How long does the incubation period for influenza last?" Which response by the parent indicates appropriate understanding?

A) 3 to 6 days
B) 1 to 2 days
C) 1 to 3 days
D) 4 to 6 days

Question 5

Which is the priority nursing action when it is suspected that an infectious agent has been used as a weapon by terrorists?

A) Separating patients according to age
B) Initiating airborne and contact precautions
C) Separating patients according to level of development
D) Disposing of blood-contaminated needles in a lead-lined container

Question 6

A parent reports that her 5-year-old child,who has had all the recommended immunizations,had a mild fever 1 week ago and now has bright red cheeks and a lacy red maculopapular rash on the trunk and arms.Which diagnosis does the nurse anticipate on the basis of the current data?

A) Rubeola (measles)
B) German measles (rubella)
C) Chickenpox (varicella)
D) Fifth disease (erythema infectiosum)

Question 7

There has been an outbreak of communicable diseases in the community.To reduce parental anxiety,the nurse presents information about diseases at the school's Parent Teacher Association meeting.Which vector-borne diseases,not communicable from person to person,should the nurse include in the teaching session? (Select all that apply.)

A) Measles
B) Whooping cough
C) Rocky Mountain spotted fever
D) West Nile virus
E) Lyme disease

Question 8

When conducting a child's physical assessment,the pediatric nurse recognizes that the child's "slapped cheek" facial rash is associated with which virus?

A) Epstein-Barr
B) Fifth disease
C) Varicella-zoster
D) Hepatitis A

Question 9

A 4-month-old infant is brought to the clinic to have a second diphtheria,tetanus,and pertussis (DTaP)vaccine.The infant's mother states that the infant has had a runny nose for the last 2 days but no fever.Prior to administering the infant's immunization,which question from the nurse to the mother is the most appropriate?

A) "Weren't you aware that your baby can't get immunizations when experiencing a runny nose?"
B) "Did your baby have any reaction following the first DTaP?"
C) "Did you bring your baby's immunization record with you today?"
D) "Did you remember to premedicate your infant with steroids?"

Question 10

The nurse is providing care to a child who is diagnosed with Lyme disease.The mother wants to know how to protect her other children from contracting this disease from the infected child.Which should the nurse include in the teaching session regarding the transmission of this disease process?

A) Person to person
B) Animal to person
C) Adult to child
D) Person to insects

Question 11

An adolescent patient has blood drawn by the clinic nurse for laboratory studies confirming an infection with the Epstein-Barr virus.The clinic nurse is teaching the adolescent and parents about the appropriate treatment.Along with rest and acetaminophen (Tylenol)for pharyngitis,which other point does the nurse include in the educational session?

A) Tepid baths three times a day
B) Oral care and the use of mouthwash
C) An extended absence from contact sports
D) Frequent follow-up clinic appointments

Question 12

A mother brings in her 4-month-old infant for a routine checkup and vaccinations.The mother reports that her child was exposed to the flu.Which nursing action is accurate on the basis of the current data?

A) Withholding the DTaP vaccination but giving the others as scheduled
B) Giving the infant the flu vaccination but withholding the others
C) Giving the vaccinations as scheduled
D) Withholding the vaccinations

Question 13

Which nursing actions allow a child to acquire active immunity against a disease? (Select all that apply.)

A) Administering a dose of immunoglobulins
B) Administering a killed virus vaccine
C) Administering a toxoid vaccine
D) Administering antibiotic therapy
E) Administering antiviral therapy

Question 14

When evaluating a pediatric patient's laboratory data,the nurse knows that which blood cell component seeks out and destroys organisms that might cause disease?

A) Antibodies
B) T lymphocytes
C) Antigens
D) Neutrophils

Question 15

The nurse is teaching parents how to prevent the spread of infectious disease.Which priority health promotion strategy should the nurse recommend for all age groups of children?

A) Decreasing environmental exposure to pathogens
B) Performing hand hygiene
C) Ensuring all toys are clean and free from germs
D) Keeping children away from sick adults

Question 16

A new mother brings her infant to the clinic for a 1-month checkup.The mother confides that she has heard many concerns expressed by other parents about immunizations and is not sure that she wants her baby to receive any immunizations.Which response by the nurse is the most appropriate?

A) "Please write down all of your questions for the doctor."
B) "I can provide you with Web sites where you can get further information."
C) "Receiving advice from others can be challenging.Can you tell me your concerns?"
D) "We can talk about this further at your next appointment."

Question 17

A child presents in the emergency department (ED)after experiencing flu-like symptoms for 24 hours.The health-care provider diagnoses the child with swine influenza.Which assessment data collected by the nurse support this diagnosis? (Select all that apply.)

A) Fever
B) Skin lesions
C) Malaise
D) Red rash on the face
E) Rhinorrhea

Question 18

A mother refuses to have her child immunized with the measles,mumps,and rubella (MMR)vaccine because she believes that letting her infant get these diseases will help him fight off other diseases later in life.Which is an appropriate response by the nurse?

A) Telling the mother that by not immunizing the child,she may be exposing pregnant women to the virus,which could cause fetal harm
B) Honoring the mother's request because she is the parent
C) Telling the mother that she is wrong and should have her child immunized
D) Explaining the potential complications of measles,mumps,and rubella infections

Question 19

Which nursing action is most appropriate to decrease the risk of transmitting viral infections by patients and family members at a local clinic?

A) Sanitizing toys,telephones,and doorknobs to kill pathogens
B) Teaching parents safe food preparation and storage
C) Withholding immunizations for children with compromised immune systems
D) Allowing all children to congregate in the same waiting room

Question 20

The mother of an immunocompromised child expresses concern that her child will "catch" a disease from the scheduled vaccination.Which vaccines can be administered to this child because they carry no risk for acquiring the infection? (Select all that apply.)

A) Toxoid
B) Killed virus vaccine
C) Live virus vaccine
D) Attenuated vaccine
E) Immunoglobulins