Boost Skills: NCLEX Daily Questions #27

November 27, 2024

Wednesday

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The charge nurse on a pediatric unit recognizes that it is acceptable for which pair of clients to be assigned to a semi-private room?

9-month-old boy with rotavirus infection and 8-month-old boy with salmonella infection

14-year-old girl with sickle cell anemia and 13-year-old girl with periorbital cellulitis

6-year-old girl with varicella and 7-year-old girl with measles

4-year-old girl in Buck traction and 5-year-old boy post laparoscopic appendectomy

Although placing pediatric clients of different sexes in a semi-private room is not ideal, the charge nurse must prioritize client room assignments based on client safety. At ages 4 and 5, the male-female pair can room together. The client in Buck traction does not have a transmittable illness. The client post laparoscopic appendectomy is also not infectious. Given the options above, this is the safest room assignment.

(Option 2) Children with infections requiring airborne precautions (eg, varicella, tuberculosis, measles) should be placed in a private, airborne infection isolation room (eg, negative airflow room). If required, clients infected with the same organism can be roomed together, but a private room is preferred.

(Option 3) Rotavirus is a viral gastroenteritis, and salmonella is a bacterial gastroenteritis. The risk for cross contamination is high, especially with caregivers sharing the facilities.

(Option 4) A client with sickle cell anemia is at risk for infection due to spleen dysfunction (repeated infarctions), and a client with periorbital cellulitis has an infection. Although compatible in age and sex, these clients should not share a room.

Educational objective: Pediatric room placement should be based on disease process, sex, and developmental stage. When assigning children to semi-private rooms, the charge nurse must consider client safety first.

Although placing pediatric clients of different sexes in a semi-private room is not ideal, the charge nurse must prioritize client room assignments based on client safety. At ages 4 and 5, the male-female pair can room together. The client in Buck traction does not have a transmittable illness. The client post laparoscopic appendectomy is also not infectious. Given the options above, this is the safest room assignment.

(Option 2) Children with infections requiring airborne precautions (eg, varicella, tuberculosis, measles) should be placed in a private, airborne infection isolation room (eg, negative airflow room). If required, clients infected with the same organism can be roomed together, but a private room is preferred.

(Option 3) Rotavirus is a viral gastroenteritis, and salmonella is a bacterial gastroenteritis. The risk for cross contamination is high, especially with caregivers sharing the facilities.

(Option 4) A client with sickle cell anemia is at risk for infection due to spleen dysfunction (repeated infarctions), and a client with periorbital cellulitis has an infection. Although compatible in age and sex, these clients should not share a room.

Educational objective: Pediatric room placement should be based on disease process, sex, and developmental stage. When assigning children to semi-private rooms, the charge nurse must consider client safety first.

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