A child has been hospitalized with rubella. Which action by the ...

[bucstennis@aim.com]

A child has been hospitalized with rubella. Which action by the charge nurse is most appropriate?
 
  A.
  Do not allow pregnant nursing staff in the room.
  B.
  Inform the parents that fresh produce is not allowed.
  C.
  Place the child on contact isolation precautions.
  D.
  Use standard precautions when caring for the child.

Question 2

A nurse is caring for a patient taking lamivudine (Epivir). Which laboratory test is most important for the nurse to assess?
 
  A.
  CD4+ count
  B.
  Hemoglobin
  C.
  Platelet count
  D.
  White blood cell count

[heyhey123]

Answer to Question 1

ANS: A
The most serious consequence of rubella infection occurs prenatally; exposure in utero can lead to cognitive impairment, deafness, eye disorders, cardiac defects, and stillbirth. Pregnant staff should not enter this room. Disallowing produce is not related to this disorder. Contact precautions are not warranted; this disease is spread through the airborne route. Standard precautions are used for all patients.

Answer to Question 2

ANS: A
Lamivudine is used in children with HIV infection or AIDS. It is a nucleotide reverse transcriptase inhibitor. The CD4+ is the critical laboratory value to monitor in these children.