Author Question: A patient was hospitalized 2 years ago with a resistant bacterial infection. The patient is admitted ... (Read 39 times)

nautica902 · **on:** Jun 28, 2018

A patient was hospitalized 2 years ago with a resistant bacterial infection. The patient is admitted for an unrelated problem and placed on contact isolation. The parents question the need for this action. Which response by the nurse is best?

A.
It is possible that your child could still contaminate the nursing staff.
B.
It's our policy to isolate anyone who has had this infection in the past.
C.
This seems distressing for you; would you like me to call the charge nurse?
D.
Your child may be colonized with the bacteria so we isolate until we know.

Question 2

The day after attending a large birthday party for a classmate, a child breaks out in a rash characteristic of chickenpox. When counseling the parents, which information is most appropriate?

A.
Inform all the parents of children at the party that your child has chickenpox.
B.
This disease is spread through respiratory droplets, so don't get too close.
C.
We can give your child a dose of varicella zoster immune globulin right away.
D.
Your child is only contagious for 3 days after the rash first appears.

Tabitha_2016 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
A person who had a bout with a resistant bacteria may be colonized. Many facilities require placing such patients in isolation until this has been ruled out. This is the most factual and informative answer. Contaminating the nursing staff is not really the problem; the nursing staff spreading the organism to susceptible patients is. The nurse should provide information and not just call someone else to explain. Telling the parents that this practice is policy may be true, but does not give them any information.

Answer to Question 2

ANS: A
Children with chickenpox are contagious from 1-2 days prior to the rash erupting until the time when all the lesions have crusted over, usually about 7 days. The parents of this child should inform the other parents about their children's exposure to the disease. The disease is spread via airborne and contact routes. Immune globulin can be used within 72 hours after an exposure in immunosuppressed children.