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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Systemic lupus erythematosus (SLE) is an autoimmune disease that can affect the skin. Proper skin care is important for individuals with SLE to minimize potential flare-ups or exacerbation of skin symptoms. The recommended approach to skin care in SLE includes gentle cleansing and moisturizing.
"I will use an astringent on my face." Astringents are typically not recommended for individuals with SLE as they can be harsh on the skin and may cause irritation or dryness.
"I will cleanse my skin using an antibacterial soap." While it is important to keep the skin clean, using an antibacterial soap is not specifically required for individuals with SLE. Gentle,
Non-irritating cleansers without antibacterial properties are generally recommended.
"I will limit my time in the tanning bed to 15 minutes." Exposure to ultraviolet (UV) radiation, such as from tanning beds, can be particularly harmful to individuals with SLE. UV radiation can trigger or worsen skin manifestations and may lead to disease flares. Therefore, it is generally advised for individuals with SLE to avoid tanning beds altogether.
In addition to gentle cleansing and moisturizing, individuals with SLE should also practice sun protection, including wearing sunscreen with a high sun protection factor (SPF) and using protective clothing and accessories (such as hats and sunglasses) when exposed to the sun. Regular check-ups with a healthcare provider and following their recommendations are important for managing SLE and its associated skin manifestations.
Correct Answer is ["A","B","C"]
Explanation
Create an opening on the skin barrier that is 1.27 cm (0.5 in) larger than the client's stoma: It is important to ensure that the opening in the skin barrier is slightly larger than the stoma to prevent irritation or pressure on the stoma. This allows for proper fit and helps maintain a secure seal.
Use a mild, non-irritating soap or specifically designed ostomy cleanser to clean the skin around the client's stoma: Harsh soaps or cleansers can irritate the skin around the stoma. Using a moisturizing or gentle cleanser helps maintain the integrity of the skin and reduces the risk of irritation or breakdown.
Empty the client's ostomy pouch before removing the skin barrier: It is important to empty the ostomy pouch to prevent leakage or spillage during the appliance change. This helps maintain cleanliness and prevents potential contamination or soiling of the surrounding area.
The timing of the ostomy appliance change is not specified in the given options. The appropriate timing for changing the ostomy appliance depends on the individual client's needs and preferences. It may be helpful to consider factors such as the client's comfort, schedule, and amount of output in determining the best time for the appliance change. This instruction is not necessary for the teaching session.
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