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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 B

Explanation

A. While prophylactic antibiotics may be considered, they are not standard for all procedures in hemophilia management.

B. Recombinant factor VIII is essential to ensure adequate clotting during and after the extraction, minimizing the risk of bleeding complications.

C. Packed RBCs may be needed for severe anemia but are not a standard preventive measure for hemophilia management during dental procedures.

D. Fresh frozen plasma can provide clotting factors but is not the preferred treatment for hemophilia A, where specific factor VIII replacement is needed.

A. Bagel with cream cheese and lox B. Vanilla milkshake made with pasteurized milk C. Ham and cheese sandwich D. Sushi

Correct Answer is B

Explanation

A. Bagels with cream cheese and lox are not recommended as lox may carry a risk of contamination.

B. A vanilla milkshake made with pasteurized milk is safe for a neutropenic diet as pasteurization kills harmful bacteria.

C. Ham and cheese sandwiches may not be safe unless the ham is fully cooked, as deli meats can harbor bacteria.

D. Sushi is not appropriate for a neutropenic diet due to the risk of raw fish and potential bacteria.

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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

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