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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","F"]
Explanation
A. Ice helps reduce pain and swelling by causing vasoconstriction and minimizing tissue inflammation. Application should be intermittent (20 minutes on, 20 minutes off) and wrapped to avoid direct skin contact. Early ice therapy supports circulation preservation and limits edema progression.
B. The child has not yet received a cast; teaching about cast care is premature. Priority actions now are to stabilize, relieve pain, and control swelling before immobilization.
C. While wound care is appropriate, this is not a priority compared to interventions preventing neurovascular impairment in the fractured arm.
D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that helps reduce both pain and inflammation. Administering analgesics promptly improves comfort and facilitates cooperation with care. Pain control is essential for monitoring neurovascular changes, as uncontrolled pain can mask worsening symptoms.
E. Although preparation reduces anxiety, this step should occur after the client’s comfort and circulation are stabilized. The immediate focus should be on pain and swelling management.
F. Elevation promotes venous return and reduces edema, minimizing pressure on surrounding tissues. The limb should be elevated above heart level unless contraindicated. This helps prevent circulatory compromise and supports healing.
Correct Answer is B
Explanation
A. Percussion is performed before palpation but after auscultation to prevent altering bowel sounds.
B. Palpation is the final step in abdominal assessment because it can stimulate bowel activity, changing the characteristics of bowel sounds. The correct sequence is: Inspection → Auscultation → Percussion → Palpation.
C. Auscultation occurs before percussion and palpation to assess bowel sounds accurately without interference.
D. Inspection is always performed first to observe for contour, symmetry, scars, or distention before any manipulation of the abdomen.
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