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.

Provide the child with a warm blanket.

Initiate airborne precautions.

Assess the oral cavity for Koplik spots.

Answer and Explanation

The Correct Answer is C

A.   Aspirin should never be given to children with varicella due to the risk of Reye's syndrome, a serious and potentially fatal condition.
B.   A warm blanket can increase the child's body temperature and discomfort. Cool compresses or baths are often recommended to relieve itching.

C.   Varicella is a highly contagious airborne disease. Isolation precautions, including airborne precautions, are essential to prevent the spread of the virus.
D.   Koplik spots are associated with measles, not varicella.

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Correct Answer is A

Explanation

A. Walking the bicycle through intersections helps the child avoid potential accidents. At intersections, visibility and the potential for sudden, unexpected vehicle movements make walking the bike a safer option than riding through. This practice reduces the risk of collisions and allows the child to be more cautious when crossing streets.
B. The recommended safety distance for cyclists from the curb is usually at least 3 feet, but this can vary by location and specific traffic laws. Keeping a safe distance from the curb is important to avoid hazards like debris and to ensure a buffer from parked cars or other obstacles.
C. When seated on the bicycle, the child’s feet should be able to touch the ground to maintain balance and safety when stopped. The 3 to 6 inches off the ground guideline ensures the bike is appropriately sized for the child, allowing them to maintain control and stability while riding. If the child cannot touch the ground with their feet, they may struggle with stopping and balancing the bicycle.

D. Bicyclists should always ride with the flow of traffic. Riding against traffic increases the risk of collisions because drivers are not expecting cyclists coming from the opposite direction. Riding with traffic allows drivers to anticipate the cyclist’s movements and helps ensure better visibility and safety.

A. Switch to soy milk. B. Offer commercially prepared formula. C. Warm the goat's milk before feeding D. Reinitiate breast feeding.

Correct Answer is B

Explanation

A. Soy milk is not recommended for infants under one year of age. It does not provide the necessary nutrients for their growth and development.

B. Commercially prepared infant formula is specifically designed to meet the nutritional needs of infants. It is the best alternative to breast milk for infants having difficulty eating.
C. While warming milk might be comforting, it does not address the underlying issue of goat milk being an inappropriate nutritional source for a 10-month-old infant.
D. Breast milk is the best source of nutrition for infants. However, if breastfeeding is not possible, formula is the next best option.

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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

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Correct Answer is A

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Correct Answer is B

Explanation

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