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."

Answer and Explanation

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 The crusting of the lesions indicates that the virus is no longer active and transmissible.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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Correct Answer is B

Explanation

A. This response deflects the client's feelings and does not acknowledge the client's frustration.
B. This response acknowledges the client's feelings of frustration and validates their experience, showing empathy and understanding.
C. While it is important to encourage the client's progress, this response does not directly address the client's expressed emotions.
D. Suggesting that the client call their partner may not address the underlying feelings of frustration and may overlook the opportunity for therapeutic communication.

A. Carefully suction the child's oropharynx to remove secretions. B. Offer a high-calorie, high-protein diet. C. Administer pancreatic enzymes with meals. D. Initiate droplet precautions.

Correct Answer is D

Explanation

A. Suctioning or any throat examination should be avoided unless absolutely necessary and then only in a controlled environment such as an operating room because it can provoke airway obstruction.
B. While nutrition is important, the priority in acute epiglottitis is maintaining the airway, not dietary content.
C. This intervention is not related to epiglottitis but to conditions affecting pancreatic function.
D. Epiglottitis is a severe, potentially life-threatening infection, and droplet precautions should be initiated to prevent the spread of infection.

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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?

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