Infection Control & Immunizations
What is the difference between standard & transmission-based precautions?
What is...
standard precautions: hand hygiene + barrier protection
Transmission-based: Additional (airborne, droplet, contact) based on mode of infection.
What is the hallmark sign of diphtheria?
What is... "Bull Neck" with thick gray/white pseudomembrane in throat
What nursing care is important for conjunctivitis?
What is... contact precautions, clean discharge, ophthalmic drops,h andwashing, family education to prevent spread
What bacterial skin infection presents with honey-colored crusts?
What is... Impetigo
An infant with a persistent cough and poor feeding arrives at the clinic. What is the priority nursing intervention?
What is... a suction nose with a bulb syringe
Give one example of when to use airborne precautions in children.
What is... measles, varicella, TB
In chickenpox (varicella), when is the child contagious?
What is... From day 1before rahs appears until all vesicles are crusted
What is the virus that causes hand-foot-mouth disease and herpetic gingivostomatitis?
What is.. Herpes simplex virus (HSV)
What is the treatment for scabies in children over 2 months?
What is..permethrin 5% cream applied overnight (8-14hr) to all body surfaces, repeat in 1 week.
A child with suspected measles should be placed under which precautions?
What is...airborne precautions
What is the nurse's role when giving vaccines?
What is...
- Be familiar with schedule
- Obtain consent
- use correct needle
- guidance
- documentation
What are Kopilk spots, and which disease are they associated?
What is the mode of transmission for pinworms (enterobiasis)?
What is... inhalation/ingestion of eggs from contaminated hands, clothing, bedding
Prediculosis capitis (head lice) most often causes itching in which two areas of the scalp?
What is... behind the ears and at the nape of neck
Why is prevention especially important in rickettsial infections (e.g. Rocky Mountain spotted fever)
What is.. can progress to severe/fatal disease if untreated.
What is a contraindication to live vaccines?
What is... immunocompromised children
Which disease is known for a "whooping" inspiratory gasp and coughing spells?
What is... pertussis
Which parasite is diagnosed with a tape test?
What is...pinworms
How long should linens be washed and treated after scabies or lice treatment?
A mother asks why her child can't get a live vaccine, which on chemotherapy. What principle is this based on?
A mother asks if her 2-month-old can get MMR. What is the best nursing response?
What is... MMr is not given until 12 months.. your baby is too young, MMR is given after the first bday
A child presents with strawberry tongue and sandpaper rash. Which disease is this?
What is... Scarlet fever
A child with giardiasis is being treated. What key home teaching should the nurse emphasize?
What is... change diapers ASAP, and dispose in a closed receptacle; strict handwashing; no swimming until cleared
What is the treatment for Lyme disease in children under 8 years old?
What is...
under 8 - amoxicillin
over 8 - doxycycline
A young child being treated for Giardiasis- what is the most important parent teach about diaper care?
What is... change diapers as soon as soiled, dispose in closed container