A nurse is observing an assistive personnel (AP) take a client's tympanic temperature.
Which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure?

Choice A rationale:

Children who have erythema infectiosum (fifth disease) require short-term antibiotic therapy. Erythema infectiosum, also known as fifth disease, is caused by a virus and does not require antibiotic therapy. It is a self-limiting illness that does not respond to antibiotics.

Choice B rationale:

Administration of childhood immunizations will prevent exanthem subitum (roseola infantum) Exanthem subitum, or roseola infantum, is typically a viral illness and is not prevented by childhood immunizations. It is caused by human herpesvirus 6 (HHV-6) and human herpesvirus 7 (HHV-7)

Choice C rationale:

Restrict fluids for children who have pertussis. Restricting fluids for children with pertussis is not recommended. Pertussis, also known as whooping cough, can cause severe coughing spells, and it is important to ensure that affected children stay well-hydrated. Restricting fluids can lead to dehydration, which can worsen the condition.

Choice D rationale:

Isolate children who have varicella until the vesicles have formed crusts. Isolation of children with varicella (chickenpox) until the vesicles have formed crusts is a standard infection control measure. Varicella is highly contagious, and isolating affected individuals helps prevent the spread of the virus to others. Once the vesicles have crusted over, the risk of transmission is significantly reduced.

Choice A rationale:

Evaluating the client for signs of infection is an important nursing action in post-procedure care, but it is not the priority immediately following an amniotomy. The primary concern after an amniotomy is fetal well-being, so monitoring the fetal heart rate is the priority.

Choice B rationale:

Checking the fetal heart rate pattern is the priority nursing action following an amniotomy. Amniotomy involves breaking the amniotic sac, which can potentially lead to changes in the fetal heart rate. Monitoring the fetal heart rate helps assess the baby's well-being and detects any signs of fetal distress.

Choice C rationale:

Observing the color and consistency of amniotic fluid is important for assessing the fluid for signs of meconium staining or infection, but it is not the immediate priority after an amniotomy. Checking the fetal heart rate takes precedence.

Choice D rationale:

Taking the client's temperature is an important part of assessing for infection or fever, but it is not the immediate priority following an amniotomy. Fetal well-being and monitoring are the primary concerns in the immediate post-amniotomy period.