Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection? Select all that apply.
A. Reduce exposure to environmental organisms.
Reduce exposure to environmental organisms.Explanation: Minimizing the child's exposure to environmental organisms helps reduce the risk of infections. This includes practices such as maintaining a clean environment and promoting good hygiene.
B. Maintain the child in a semiprivate room.
Maintain the child in a semiprivate room.Explanation: The type of room (semiprivate or private) may not be directly related to infection control. However, maintaining a clean and controlled environment is important.
C. Use strict aseptic technique for all procedures.
Use strict aseptic technique for all procedures.Explanation: Strict aseptic technique is crucial to prevent the introduction of pathogens during procedures. This involves maintaining a sterile field and using appropriate infection control measures during medical interventions.
D. Ensure that anyone entering the child's room wears a mask
Ensure that anyone entering the child's room wears a mask.Explanation: Wearing a mask helps prevent the spread of respiratory infections, which can be particularly risky for immunocompromised children. It is a measure to protect the child from potential airborne pathogens.
E. Apply firm pressure to a needlestick area for at least 10 minutes
Explanation: Applying firm pressure to a needlestick area is relevant in the context of preventing bleeding or hematoma formation but is not directly related to infection control.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Paediatric Assessment Proctored Exam 2022. Take the full exam now
Full Explanation
A.Reduce exposure to environmental organisms.
Explanation: Minimizing the child's exposure to environmental organisms helps reduce the risk of infections. This includes practices such as maintaining a clean environment and promoting good hygiene.
B. Maintain the child in a semiprivate room.
Explanation: The type of room (semiprivate or private) may not be directly related to infection control. However, maintaining a clean and controlled environment is important.
C.Use strict aseptic technique for all procedures.
Explanation: Strict aseptic technique is crucial to prevent the introduction of pathogens during procedures. This involves maintaining a sterile field and using appropriate infection control measures during medical interventions.
D.Ensure that anyone entering the child's room wears a mask.
Explanation: Wearing a mask helps prevent the spread of respiratory infections, which can be particularly risky for immunocompromised children. It is a measure to protect the child from potential airborne pathogens.
E. Apply firm pressure to a needlestick area for at least 10 minutes.
Explanation: Applying firm pressure to a needlestick area is relevant in the context of preventing bleeding or hematoma formation but is not directly related to infection control.
Similar Questions
A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching?
A. "Limit your caloric intake to avoid becoming overweight."
"Limit your caloric intake to avoid becoming overweight." Explanation: This statement emphasizes the importance of maintaining a healthy weight through balanced nutrition and avoiding excessive caloric intake. It promotes the prevention of overweight and obesity.
B. "Tanning beds are much safer then lying in the sun."
"Tanning beds are much safer than lying in the sun." Explanation: This statement is incorrect. Tanning beds are not safer than natural sunlight and are associated with an increased risk of skin cancer. Adolescents should be advised to protect their skin from harmful UV radiation.
C. "Share piercing needles only with close friends you trust."
"Share piercing needles only with close friends you trust." Explanation: This statement is unsafe and promotes risky behavior. Sharing piercing needles can lead to the transmission of bloodborne infections such as HIV and hepatitis. The nurse should emphasize the importance of using sterile needles and avoiding risky behaviors.
D. "Your need for sleep will increase during periods of growth.
"Your need for sleep will increase during periods of growth." Explanation: During periods of growth, adolescents often experience increased physical and hormonal changes, and adequate sleep is crucial for overall health and well-being. Sleep plays a vital role in growth, immune function, and cognitive performance. Adolescents should be encouraged to prioritize getting sufficient sleep for their age group.
Full Explanation
A. "Limit your caloric intake to avoid becoming overweight."
Explanation: This statement emphasizes the importance of maintaining a healthy weight through balanced nutrition and avoiding excessive caloric intake. It promotes the prevention of overweight and obesity.
B. "Tanning beds are much safer than lying in the sun."
Explanation: This statement is incorrect. Tanning beds are not safer than natural sunlight and are associated with an increased risk of skin cancer. Adolescents should be advised to protect their skin from harmful UV radiation.
C. "Share piercing needles only with close friends you trust."
Explanation: This statement is unsafe and promotes risky behavior. Sharing piercing needles can lead to the transmission of bloodborne infections such as HIV and hepatitis. The nurse should emphasize the importance of using sterile needles and avoiding risky behaviors.
D. "Your need for sleep will increase during periods of growth."
Explanation:
During periods of growth, adolescents often experience increased physical and hormonal changes, and adequate sleep is crucial for overall health and well-being. Sleep plays a vital role in growth, immune function, and cognitive performance. Adolescents should be encouraged to prioritize getting sufficient sleep for their age group.
The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by the parents indicates a need for further instruction?
A. will have my child wear soft fabric clothing under the brace"
"I will have my child wear soft fabric clothing under the brace." Explanation: Wearing soft fabric clothing under the brace can enhance comfort and reduce the risk of irritation. This is a suitable practice.
B. I need to apply lotion under the brace to prevent skin breakdown."
"I need to apply lotion under the brace to prevent skin breakdown." Explanation:Applying lotion under the brace may lead to moisture accumulation and skin breakdown. It is generally recommended to keep the skin clean and dry under the brace to prevent irritation and pressure sores. Lotions or creams can contribute to moisture, potentially causing skin problems.
C. need to avoid the use of powder because it will cake under the brace."
"I need to avoid the use of powder because it will cake under the brace." Explanation: Powder can accumulate and cake under the brace, leading to skin issues. This statement is correct, emphasizing the importance of avoiding the use of powder.
D. will encourage my child to perform prescribed exercises."
"I will encourage my child to perform prescribed exercises." Explanation: Encouraging the child to perform prescribed exercises is essential for maintaining flexibility and strength. This statement reflects a positive and supportive approach to managing scoliosis.
Full Explanation
A. "I will have my child wear soft fabric clothing under the brace."
Explanation: Wearing soft fabric clothing under the brace can enhance comfort and reduce the risk of irritation. This is a suitable practice.
B. "I need to apply lotion under the brace to prevent skin breakdown."
Explanation:
Applying lotion under the brace may lead to moisture accumulation and skin breakdown. It is generally recommended to keep the skin clean and dry under the brace to prevent irritation and pressure sores. Lotions or creams can contribute to moisture, potentially causing skin problems.
C. "I need to avoid the use of powder because it will cake under the brace."
Explanation: Powder can accumulate and cake under the brace, leading to skin issues. This statement is correct, emphasizing the importance of avoiding the use of powder.
D. "I will encourage my child to perform prescribed exercises."
Explanation: Encouraging the child to perform prescribed exercises is essential for maintaining flexibility and strength. This statement reflects a positive and supportive approach to managing scoliosis.
The nurse has provided discharge instructions to the parents of a 2-year-old child who underwent an orchiopexy to correct cryptorchidism, which statement by the parents indicates a need for further instruction?
A. "I'll check my child's temperature."
"I'll check my child's temperature." Explanation: Monitoring the child's temperature is a general indicator of well-being and can help identify signs of infection or other postoperative concerns.
B. "I'll give medication so that my child will be comfortable."
"I'll give medication so that my child will be comfortable." Explanation: Administering prescribed medication for comfort is a suitable practice to manage postoperative pain or discomfort.
C. I’ll check my child's voiding to be sure there's no problem."
"I'll check my child's voiding to be sure there's no problem." Explanation:After an orchiopexy procedure, checking voiding may not be directly related to the surgical intervention. Orchiopexy is a procedure to correct cryptorchidism, which involves repositioning an undescended testicle into the scrotum. While monitoring for general signs of well-being is important, specifically checking voiding might not be directly relevant to the surgical recovery process.
D. "I’Il let my child decide when to return to play activities.
"I'll let my child decide when to return to play activities." Explanation: Allowing the child to gradually resume play activities based on their comfort and recovery is a reasonable approach, considering individual variations in recovery times.
Full Explanation
A. "I'll check my child's temperature."
Explanation: Monitoring the child's temperature is a general indicator of well-being and can help identify signs of infection or other postoperative concerns.
B. "I'll give medication so that my child will be comfortable."
Explanation: Administering prescribed medication for comfort is a suitable practice to manage postoperative pain or discomfort.
C. "I'll check my child's voiding to be sure there's no problem."
Explanation:
After an orchiopexy procedure, checking voiding may not be directly related to the surgical intervention. Orchiopexy is a procedure to correct cryptorchidism, which involves repositioning an undescended testicle into the scrotum. While monitoring for general signs of well-being is important, specifically checking voiding might not be directly relevant to the surgical recovery process.
D. "I'll let my child decide when to return to play activities."
Explanation: Allowing the child to gradually resume play activities based on their comfort and recovery is a reasonable approach, considering individual variations in recovery times.