A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
A
B
C
D
The Correct Answer is C
A. This is not the site where kolpik spots are located.
B. This is not the site where kolpik spots are located.
C. Koplik spots are small, white or bluish-white spots that appear on the inside of the cheeks, usually opposite the lower molars, in people who have measles. They are a sign of the infection and can be seen one to four days before the skin rash develops. They are surrounded by a red ring and look like grains of salt. Koplik spots are very helpful for diagnosing measles, especially when other diseases have similar symptoms.
D. This is not the site where kolpik spots are located.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Testing with glasses should be done after testing without them to evaluate the effect of correction.
B. Positioning the child 4.6 meters (15 feet) from the chart is the standard for adult vision testing, but for young children, testing should typically be at a closer distance.
C. The assessment should begin with each eye separately, not together, to evaluate each eye's function independently.
D. The tumbling E chart is often used to assess visual acuity in young children who cannot yet recognize letters. The child points to the direction of the "E" to demonstrate understanding.
Correct Answer is B
Explanation
A. Droplet precautions are not needed for impetigo; it is spread through direct contact with lesions or contaminated items.
B. Wearing gloves when assessing the toddler is important to prevent the spread of impetigo, which is highly contagious.
C. Negative airflow rooms are not required for impetigo.
D. Protective environments are for immunocompromised patients, which is not necessary for impetigo.
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