A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella zoster virus. Which of the following information should the nurse include in the teaching?
Children who have varicella should be placed in droplet precautions.
Children who have varicella can have aspirin if experiencing discomfort.
Children who have varicella should receive the herpes zoster vaccine.
Children who have varicella are contagious until vesicles are crusted.
The Correct Answer is D
A. Varicella (chickenpox) requires airborne and contact precautions, not droplet precautions, due to its high transmissibility.
B. Aspirin should never be given to children with viral infections because it increases the risk of Reye’s syndrome, a life-threatening condition causing liver failure and encephalopathy.
C. The herpes zoster vaccine (Zostavax or Shingrix) is for adults to prevent shingles, not for children with active varicella infection.
D. Children with varicella are contagious from 1–2 days before the rash appears until all vesicles have crusted over (usually 5–7 days). They should be isolated from susceptible individuals during this period.
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Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}
Explanation
Limb immobilization (e.g., a cast or splint) is the standard treatment for a nondisplaced fracture of the radius and ulna to ensure proper alignment, promote healing, and prevent further injury.
Pain medication is indicated to manage the child’s discomfort and improve tolerance of the immobilization.
Surgical consultation or skin traction is typically reserved for displaced fractures or fractures with complications, which are not present in this case.
Antibiotics are unnecessary unless there is an open fracture or risk of infection, and bed rest alone does not provide adequate stabilization for a forearm fracture.
Correct Answer is ["B","E"]
Explanation
A. Clients with C. difficile require dedicated equipment (e.g., thermometers, stethoscopes) that is not shared to prevent cross-contamination.
B. C. difficile is transmitted via spores that contaminate surfaces and clothing; a gown is required for contact precautions.
C. Alcohol-based hand rubs are ineffective against C. difficile spores. Hands must be washed with soap and water.
D. An N95 respirator is required only for airborne precautions (e.g., tuberculosis), not C. difficile.
E. Gloves must be changed after contact with infectious material and between procedures to prevent spore transmission.
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