Author Question: A nurse is caring for a child in Droplet Precautions. Which instructions should the nurse give to ... (Read 34 times)

lilldybug07 · **on:** Jun 28, 2018

A nurse is caring for a child in Droplet Precautions. Which instructions should the nurse give to the unlicensed assistive personnel caring for this child (Select all that apply)?

a. Wear gloves when entering the room.
b. Wear an isolation gown when entering the room.
c. Place the child in a special air handling and ventilation room.
d. A mask should be worn only when holding the child.
e. Wash your hands upon exiting the room.

Question 2

The nurse must do a heel stick on an ill neonate to obtain a blood sample. Which procedure is recommended to facilitate this?

a. Apply cool, moist compresses. c. Elevate the foot for 5 minutes.
b. Apply a tourniquet to the ankle. d. Wrap foot in a warm washcloth.

Edwyer · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, E
Droplet transmission involves contact of the conjunctivae or the mucous membranes of the nose or mouth of a susceptible person with large-particle droplets (>5 mm) containing microorganisms generated from a person who has a clinical disease or who is a carrier of the microorganism. Droplets are generated from the source person primarily during coughing, sneezing, or talking and during procedures such as suctioning and bronchoscopy. Gloves, gowns, and a mask should be worn when entering the room. Hand washing when exiting the room should be done with any patient. Because droplets do not remain suspended in the air, special air handling and ventilation are not required to prevent droplet transmission.

Answer to Question 2

ANS: D
Before the blood sample is taken, the heel is heated with warm moist compresses for 5 to 10 minutes to dilate the blood vessels in the area. Cooling causes vasoconstriction, making blood collection more difficult. A tourniquet is used to constrict superficial veins. It will have an insignificant effect on capillaries. Elevating the foot will decrease the blood in the foot available for collection.