Pediatric Nurse Infectious Diseases and Immunizations Flashcards
6 cards from real Pediatric Nurse Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Pediatric Nurse Infectious Diseases and Immunizations flashcards as text
A child is admitted with suspected bacterial meningitis. What type of transmission-based precautions should the nurse implement?
Answer: Droplet precautions for at least 24 hours after starting antibiotics
Neisseria meningitidis spreads via respiratory droplets, requiring droplet precautions until 24 hours of effective antibiotic therapy has been completed.
Which rash pattern is characteristic of Lyme disease?
Answer: Erythema migrans — an expanding bull's-eye rash at the tick bite site
Erythema migrans, an expanding circular rash with central clearing resembling a bull's-eye, is pathognomonic for Lyme disease caused by Borrelia burgdorferi.
An infant is admitted with RSV bronchiolitis. What is the mainstay of treatment?
Answer: Supportive care including hydration, nasal suctioning, and supplemental oxygen
RSV bronchiolitis management is supportive — antibiotics are ineffective against viruses, and evidence does not support routine bronchodilator or steroid use.
Palivizumab (Synagis) is administered monthly during RSV season to provide prophylaxis against which pathogen?
Answer: Respiratory syncytial virus (RSV)
Palivizumab is a monoclonal antibody targeting RSV, given monthly in fall/winter to high-risk infants such as those born prematurely or with congenital heart disease.
A child presents with fever, severe headache, photophobia, and nuchal rigidity. What is the nurse's priority action?
Answer: Implement droplet precautions and notify the provider immediately
Signs of meningitis require urgent provider notification and isolation due to the risk of rapid neurological deterioration and infectious transmission.
Which vaccine specifically prevents infection by Haemophilus influenzae type b, a leading cause of bacterial meningitis in children under 5?
Answer: Hib conjugate vaccine
The Hib conjugate vaccine targets Haemophilus influenzae type b specifically, and its widespread use has dramatically reduced bacterial meningitis in young children.
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