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A 6 year old child presents to the pediatric clinic with vesicular rash and honey crusted plaques around the nose and mouth. Which of the following statements by the parent indicates the need for further teaching?

I will remind my child to wash their hands well and frequently

I will remind my child not to touch their face while the rash is present

I will give my child a separate towel from other family members

I will fill a prescription for antiviral ointment to apply to the rash

Answer and Explanation

The Correct Answer is D

A. Encouraging handwashing is important to prevent spreading infection and shows understanding of hygiene practices.

B. Advising the child not to touch their face is important to prevent secondary infections and spread of the rash.

C. Providing a separate towel helps prevent the spread of infection, demonstrating good understanding of precautions.

D. Filling a prescription for antiviral ointment is inappropriate in this case; the honey-crusted plaques suggest impetigo, which is typically treated with topical or oral antibiotics, not antiviral ointment.

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Correct Answer is A

Explanation

A. The primary treatment for congenital aganglionic megacolon (Hirschsprung's disease) is surgical intervention to remove the affected segment of the bowel, allowing for normal bowel function and preventing complications such as bowel obstruction.

B. Oral iron preparations would not address the underlying condition of Hirschsprung's disease, which is related to the lack of nerve cells in the bowel.

C. While counseling may be beneficial for the caregivers regarding the diagnosis and care, it is not the primary treatment for Hirschsprung's disease.

D. While enemas may be used temporarily to relieve constipation, they are not a definitive treatment for the disease, which requires surgical correction.

A. Encouraging frequent, thorough handwashing B. Having the child sleep in a single bed and room. C. Encouraging frequent close contact with visitors. D. Cheering up the environment with fresh flowers and plants. E. Protecting the central venous access device from non-sterile access

Correct Answer is ["C","D"]

Explanation

A. Frequent, thorough handwashing is essential to prevent infection, especially for immunocompromised children.

B. Having the child sleep in a separate bed and room may help minimize exposure to pathogens from family members.

C. Encouraging frequent close contact with visitors increases the risk of infections and should be avoided.

D. Fresh flowers and plants can harbor bacteria and should be avoided in the environment of an immunocompromised child.

E. Protecting the central venous access device is vital to prevent infections; this practice should be emphasized.

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A 6 year old child presents to the pediatric clinic with vesicular rash and honey crusted plaques around the nose and mouth. Which of the following statements by the parent indicates the need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discussing the treatment of congenital aganglionic megacolon (Hirschsprungs disease) with the caregivers of a 3-day-old newborn infant who presented with abdominal distension and failure to pass meconium. Which statement is the best explanation of the treatment for this diagnosis?

Correct Answer is A

Explanation

The nurse is caring for a child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression. Which of the following SHOULD NOT be included in the teaching plan for the child and parents about reducing the child's risk for infection? Select all that apply

Correct Answer is ["C","D"]

Explanation

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