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

Provide the child with a warm blanket.

Assess the oral cavity for Koplik spots.

Initiate airborne precautions.

Administer aspirin for fever.

Answer and Explanation

The Correct Answer is C

A. A warm blanket is not a recommended intervention for varicella and does not address the need for infection control.

B. Koplik spots are associated with measles, not varicella.

C. Varicella requires airborne precautions because the virus can be transmitted through respiratory droplets and aerosols.

D. Aspirin should be avoided in children due to the risk of Reye's syndrome, especially with viral infections like varicella.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Applying a topical anesthetic cream 1 hour prior to the procedure can help reduce pain and discomfort during venipuncture, ensuring atraumatic care for the child.

B. The procedure should not be performed in the playroom, as it may cause distress to the child and create a negative association with that space.

C. The presence of a parent during the procedure can provide comfort and support to the child, reducing anxiety and fear.

D. Explaining the procedure in detail 3 hours prior may cause unnecessary anxiety. A brief, simple explanation right before the procedure is more appropriate for a 4-year-old.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Answer: Renal scarring and pyelonephritis

Rationale:

The child in this scenario is presenting with symptoms consistent with a urinary tract infection (UTI), which has been a recurring issue for the child due to the history of vesicoureteral reflux (VUR). VUR increases the risk of pyelonephritis, a type of kidney infection, because it allows urine to flow back into the kidneys, potentially leading to infection.

Pyelonephritis is the term used to describe a kidney infection, which can develop from untreated or recurrent UTIs.

Renal scarring is a long-term consequence of recurrent UTIs, especially in the context of VUR. The chronic infections can lead to scarring of the kidney tissue, potentially causing long-term kidney damage or dysfunction.

Acute glomerulonephritis and nephrotic syndrome are not as closely linked to this case. While both involve kidney issues, they do not typically result from recurrent UTIs or VUR in the same direct way.

Polycystic kidney disease is a genetic condition that typically does not relate to recurrent UTIs or VUR in young children.

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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 preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?

Correct Answer is A

Explanation

A nurse in a provider's office is caring for a 1-year-old toddler. Exhibits select words from the choices below to fill in each blank in the following sentence. The child is at risk for developing dropdown and dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

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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.)

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