A nurse is reinforcing teaching with a 4-year-old child who is on airborne precautions about activities he can do while in the hospital. Which of the following activities should the nurse include in the teaching?
Pulling a wagon with toys in the hallway
Watching a video game in the playroom
Constructing a model airplane
Putting a puzzle together
The Correct Answer is D
A. Pulling a wagon with toys in the hallway: A child on airborne precautions cannot leave the room to prevent the spread of infection.
B. Watching a video game in the playroom: Access to communal areas like the playroom is prohibited for children on airborne precautions.
C. Constructing a model airplane: While constructive, small parts in models can be hazardous and inappropriate for some children in a hospital setting.
D. Putting a puzzle together: Puzzles are a safe, quiet activity that can be done independently in the isolation room.
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Correct Answer is D
Explanation
A. "I promise I won't tell anyone about this.": This is inappropriate as nurses are mandated reporters and must inform authorities when abuse is suspected.
B. "Let's discuss what you have told me with your family members.": Involving the alleged abuser(s) directly can put the child at greater risk and is inappropriate.
C. "Your family is bad for doing this to you.": Judging or labeling the family is unprofessional and could make the child feel conflicted or guilty.
D. "It is not your fault that this happened.": This response reassures the child, alleviating feelings of guilt and fostering trust, while remaining supportive and professional.
Correct Answer is A
Explanation
A. 2 to 3 weeks: The incubation period for varicella is typically 10 to 21 days, or 2 to 3 weeks.
B. 7 to 10 days: This is shorter than the actual incubation period for varicella.
C. 3 to 4 weeks: This exceeds the typical maximum incubation period of 21 days.
D. 2 to 5 days: This is significantly shorter than the typical incubation period for varicella.