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Pediatric nursing · practice question

An 8-year-old child in the pediatric unit is being evaluated for pediatric injury prevention. Assessment data include capillary refill 4 seconds with dry mucous membranes and sunken fontanelle. Which infection-prevention action is essential?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Choose one answer
Answer and explanation

Correct answer

B. Perform hand hygiene and apply the transmission-based precautions indicated by the client's diagnosis.

Why

Infection control matches the pathogen route: hand hygiene plus appropriate precautions for contact, droplet, or airborne transmission.

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