A nurse is providing teaching to a parent of a child who has varicella. Which of the following statements should the nurse include in the teaching?
"Your child can return to school once the lesions have crusted over."
"Your child can return to school once the fever has subsided."
"Your child can return to school 24 hours after beginning antibiotics."
"Your child can return to school after a negative titer result."
The Correct Answer is A
A: Varicella (chickenpox) is contagious until all lesions have crusted over. The crusting of the lesions indicates that the virus is no longer active and transmissible.
B: Although a decrease in fever suggests improvement, it does not signify that the child is no longer contagious. Children with varicella are still contagious until all blisters have crusted over.
C: Antibiotics are not effective against viral infections like varicella. Therefore, this statement is inaccurate as it implies antibiotics are part of the treatment for varicella.
D: Varicella is diagnosed clinically and through symptoms rather than titer results. Titer testing is not a standard criterion for determining when a child can return to school.
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Related Questions
Correct Answer is D
Explanation
A. Although activity is encouraged, clients with acute heart failure may require rest to minimize cardiac demand.
B. Clients with acute heart failure typically need fluid restrictions, not boluses, which could exacerbate heart failure symptoms.
C. A low-sodium diet is usually recommended for heart failure clients to help manage fluid retention, not a high-sodium diet.
D. Enalapril is an ACE inhibitor often prescribed for clients with heart failure as it helps reduce blood pressure and decrease the workload on the heart.
Correct Answer is C
Explanation
A: Percussion should be performed with a cupped hand to provide effective airway clearance, not with a flat hand.
B: Postural drainage is typically performed multiple times per day to help clear secretions from the lungs in cystic fibrosis.
C: Postural drainage is often performed before meals to minimize the risk of vomiting due to manipulation of the abdomen.
D: Bronchodilators are not typically administered after postural drainage; they are used to help open the airways before the procedure.
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