A nurse is assisting with a community health education program about childhood communicable diseases.
Which of the following information should the nurse include in the presentation?
Children who have erythema infectious (fifth disease) require short-term antibiotic therapy.
Isolate children who have varicella until the vesicles have formed crusts.
Administration of childhood immunizations will prevent exanthem subitem (roseola infantum).
Restrict fluids for children who have pertussis.
The Correct Answer is B
Isolate children who have varicella until the vesicles have formed crusts.
Isolating children who have varicella, also known as chickenpox, until the vesicles (blisters) have formed crusts is an important infection control measure. Varicella is highly contagious, and the fluid-filled vesicles can easily spread the virus to others. Keeping the child isolated until the vesicles have crusted over helps prevent the spread of the disease.
Children who have erythema infectious, commonly known as fifth disease in (option A) is incorrect because they, do not require short-term antibiotic therapy. Fifth disease is a viral infection caused by parvovirus B19 and is usually a self-limiting condition that resolves on its own without specific treatment.
Administration of childhood immunizations, such as the MMR (measles, mumps, rubella) vaccine in (option C) is incorrect because it, does not prevent exanthem subitem, also known as roseola infantum. Roseola infantum is usually a mild viral illness that primarily affects infants and young children. It is caused by human herpesvirus 6 (HHV-6) or human herpesvirus 7 (HHV-7) and is characterized by high fever followed by a rash.
Restricting fluids for children who have pertussis (whooping cough) in (option D) is not appropriate. In fact, it is important to encourage adequate fluid intake to prevent dehydration, especially in children who may have difficulty eating or drinking due to persistent coughing spells. Pertussis is a bacterial infection, and treatment typically involves antibiotics and supportive care.
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Related Questions
Correct Answer is C
Explanation
When prioritizing care, the nurse should consider the urgency and potential complications associated with each client's condition. Based on the given information, the nurse should plan to see the client who has a femur fracture and reports numbness of the toes first.
The client with a femur fracture and numbness of the toes is experiencing a potential neurovascular compromise. Numbness can indicate impaired circulation or nerve damage, which requires immediate assessment and intervention to prevent further complications.
The other clients also require attention, but their conditions are not as urgent as a potential neurovascular compromise. Here's a brief explanation of the other options:
Option A, A client who has cirrhosis and severe pruritus is incorrect: Pruritus (severe itching) can be distressing for the client, but it is not an immediate life-threatening condition that requires immediate intervention.
Option B, A client who had a laparoscopic appendectomy 8 hr ago and is awaiting discharge is incorrect: This client has already undergone surgery and is in the postoperative period. While they may require routine assessments and care, they are stable and can wait for the nurse's attention.
Option D A client who had a renal biopsy 3 hr ago and has pink-tinged urine is incorrect: Pink-tinged urine following a renal biopsy can be expected due to blood in the urine. While the nurse should monitor the client's condition closely, it is not an immediate concern unless there is excessive bleeding or signs of complications.
Correct Answer is D
Explanation
Correct answer: D
veracity, in (option A) is incorrect because it refers to telling the truth and being honest with the client. While the nurse's action in obtaining a healthy meal for the client is a positive action, it is not directly related to veracity.
countertransference in (option B) is incorrect because it, refers to the nurse's emotional or personal reaction towards the client that may influence their behaviour or response. It is not applicable to the scenario described.
C. Boundary Crossing happens when a professional line is blurred. In this case, the nurse prioritizes the client's well-being, not a personal connection.
D. Promoting trust involves actions that build rapport, establish a therapeutic relationship, and demonstrate caring and empathy towards the client. By interrupting the bath to obtain a healthy meal for the client, the nurse shows responsiveness to the client's needs, which can enhance trust and confidence in the nurse's care
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