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A nurse is planning care for a child who has varicella.
Which of the following interventions should the nurse plan to include?

Initiate airborne precautions.

Assess the oral cavity for Koplik spots.

Provide the child with a warm blanket.

Administer aspirin for fever.

Answer and Explanation

The Correct Answer is A

Varicella (chickenpox) is highly contagious and can be spread through the air by coughing or sneezing.

Airborne precautions help prevent the spread of the disease to others.

Choice B is wrong because Koplik spots are a symptom of measles, not varicella.

Choice C is wrong because providing a warm blanket is not a specific intervention for a child with varicella.

Choice D is wrong because aspirin should not be given to children with varicella due to the risk of Reye’s syndrome.

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Correct Answer is B

Explanation

Chest physiotherapy treatments aim to improve ventilation and mucociliary clearance by removing tenacious and obstructing secretions in patients with cystic fibrosis.

Increased expectoration indicates that the therapy has been effective in clearing secretions.

Choice A is wrong because increased urine output is not an indication of the effectiveness of chest physiotherapy.

Choice C is wrong because reduced pain is not a specific indication of the effectiveness of chest physiotherapy.

Choice D is wrong because increased heart rate is not an indication of the effectiveness of chest physiotherapy.

A. An adolescent who has sickle cell anemia and slurred speech. B. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10. C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin. D. A toddler who has a partial-thickness burn on his right hand and requires a dressing change.

Correct Answer is A

Explanation

An adolescent who has sickle cell anemia and slurred speech should be assessed first.

Slurred speech can be a sign of a stroke, which is a known complication of sickle cell anemia.

This requires immediate medical attention.

Choice B is wrong because while pain management is important, it is not as urgent as a potential stroke.

Choice C is wrong because while administering medication is important, it is not as urgent as a potential stroke.

Choice D is wrong because while wound care is important, it is not as urgent as a potential stroke.

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A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating a 4-year-old child who has cystic fibrosis and has been receiving chest physiotherapy treatments. The nurse should identify which of the following findings as an indication that the therapy has been effective?

Correct Answer is B

Explanation

A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?

Correct Answer is A

Explanation

A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care?

A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?

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A nurse is caring for a preschooler who refuses to take a stat dose of oral diphenhydramine. Which of the following statements should the nurse make?

A nurse is planning care for a 6-month-old infant who has bacterial meningitis. Which of the following interventions should the nurse include in the plan of care?

A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?

A nurse is planning care for a child who has varicella.
Which of the following interventions should the nurse plan to include?