Author Question: A school-aged child with an infectious disease is placed on transmission-based precautions. Which ... (Read 46 times)

PhilipSeeMore · **on:** Jun 28, 2018

A school-aged child with an infectious disease is placed on transmission-based precautions. Which nursing diagnosis would be the priority?

A) Impaired skin integrity related to trauma secondary to pruritus and scratching
B) Fluid volume deficit related to increased metabolic demands and insensible losses
C) Social isolation related to infectivity and inability to go to the playroom
D) Deficient knowledge related to how infection is transmitted

Question 2

The parents of a 5-year-old have just found out that their child has head lice. Which statement by the parents would support the nursing diagnosis of deficient knowledge?

A) I can't believe it. We're not unclean, poor people.
B) We'll have to get that special shampoo.
C) Everybody in the house will need to be checked.
D) That explains his complaints of itching on his neck.

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

Answer to Question 1

Ans: C
Children who are placed on transmission-based precautions are not allowed to leave their rooms and are not allowed to go to common areas such as the playroom or schoolroom. Thus, they are at risk for social isolation. Impaired skin integrity, fluid volume deficit, and deficient knowledge may be appropriate but would depend on the infectious disease diagnosed.

Answer to Question 2

Ans: A
Head lice is not an indication of poor hygiene or poverty. It occurs in all socioeconomic groups. Thus, the parents' statement about being unclean and poor reflects a lack of knowledge about the infection. A pediculicide is used to wash the hair to treat the infestation. Household contacts need to be examined and treated if affected. Extreme pruritus is the most common symptom, with nits or lice especially behind the ears or at the nape of the neck.