A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Administer aspirin for fever.
Initiate airborne precautions,
Assess the oral cavity for Koplik spots.
Provide the child with a warm blanket
The Correct Answer is B
Choice A Reason:
Administer aspirin for fever is incorrect. Aspirin is contraindicated in children with varicella due to the risk of Reye's syndrome. Reye's syndrome is a rare but serious condition that can occur when aspirin is given to children with certain viral infections, including varicella.
Choice B Reason:
Initiate airborne precautions is correct. Varicella is transmitted via airborne droplets. Use airborne precautions (negative air-flow rooms) for patients with varicella. If negative air-flow rooms are not available, isolate patients in closed rooms with no contact with people without evidence of immunity
Choice C Reason:
Assess the oral cavity for Koplik spots is incorrect. Koplik spots are associated with measles, not varicella. Varicella typically presents with a rash that starts on the trunk and spreads to the rest of the body, along with other symptoms like fever and malaise.
Choice D Reason:
Varicella can cause fever and discomfort, and providing a warm blanket can offer comfort to the child, helping to alleviate chills or discomfort associated with fever. However, it is more important to initiate airborne precautions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Soak hairbrushes in boiling water for 10 minutes is incorrect. While it's good practice for general hygiene, impetigo is primarily a skin infection and is not typically spread through hairbrushes.
Choice B Reason:
Apply bactericidal ointment to lesions is correct. Topical antibiotics, such as mupirocin, are often recommended as treatment for impetigo. Applying bactericidal ointment to the lesions helps in the healing process and prevents the spread of the infection.
Choice C Reason:
Seal soft toys in a plastic bag for 14 days is incorrect. While cleaning and disinfecting toys is a good practice, impetigo is mainly transmitted through direct skin-to-skin contact or contact with contaminated items, but it does not require sealing toys in plastic bags for a specific duration.
Choice D Reason:
Administer acyclovir PO two times per day is incorrect. Acyclovir is an antiviral medication used to treat viral infections like herpes simplex virus (HSV), not bacterial infections like impetigo. It wouldn't be effective for impetigo treatment.
Correct Answer is D
Explanation
Choice A Reason:
Have the child wear a surgical mask to school. Wearing a surgical mask to school is not a standard practice for managing sickle cell disease unless recommended during times of illness or in situations where the child is at risk of exposure to infections that could potentially trigger a sickle cell crisis.
Choice B Reason:
Limit fluids at bedtime. Adequate hydration is essential for individuals with sickle cell disease to prevent dehydration, which can trigger sickle cell crises. Limiting fluids at bedtime might not be advised; instead, encourage adequate hydration throughout the day.
Choice C Reason:
Apply cold compresses to painful areas. Cold compresses may provide temporary relief for some pain associated with sickle cell disease, but warm compresses or warm baths are generally more helpful in easing pain related to sickle cell crises.
Choice D Reason:
Encourage physical activity as tolerated. Regular physical activity, as tolerated by the child, is beneficial in managing sickle cell disease. It helps improve blood flow, reduce the risk of complications, and maintain overall health. However, it's crucial to encourage activity while considering the child's individual limitations and avoiding excessive strain or exhaustion.
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