A nurse is teaching a group of day-care providers about infection ...

[Mimi]

A nurse is teaching a group of day-care providers about infection control. Which action does the nurse explain is the best way to prevent children from contracting diarrhea?
 
  A.
  Good hand-washing practices
  B.
  Limiting toy sharing to small groups
  C.
  Providing less juice with sugar
  D.
  Wearing gloves to change diapers

Question 2

A father brings his son to the emergency department complaining that the child has a fever and severe, foul-smelling diarrhea. The child's only previous health complaint was constipation. The nurse notes abdominal distention and firmness on palpation. Whi
 
  A.
  Have the father sign a consent for emergency surgery.
  B.
  Place the child on NPO status and insert an NG tube.
  C.
  Prepare to administer intravenous antibiotics.
  D.
  Start an IV and provide maintenance and replacement fluids.

[sylvia]

Answer to Question 1

ANS: A
Good hand-washing practices are the best method to prevent acute diarrhea, and other diseases as well. The other actions may be useful, but are not nearly as vital as proper hand hygiene.

Answer to Question 2

ANS: D
This child's presentation is consistent with Hirschsprung disease and enterocolitis, which is a serious complication. Although all options are appropriate, the priority is to start an IV and provide fluids. Airway, breathing, and circulation come first.

[Mimi]

Excellent

[kthug]

TYSM