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 The crusting of the lesions indicates that the virus is no longer active and transmissible.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 A

Explanation

A. When assessing skin turgor in older adults, it is recommended to perform the test over the sternum or on the forehead. This is due to the fact that many older adults have reduced skin turgor as a part of the typical aging process, which can make it difficult to use the test to determine dehydration accurately in other areas.
B. In the elderly, skin turgor assessment on the abdomen can be influenced by factors such as adipose tissue and may not provide as reliable an indicator.

C. The shoulder is not commonly used for assessing skin turgor and may not provide reliable results.
D. The neck is not typically used for assessing skin turgor and may not provide an accurate reflection of hydration status.

A. Ambulate the client every 4 hr while awake. B. Infuse 0.9% sodium chloride 500 mL IV bolus over 1 hr. C. Provide the client with a 4 g sodium diet. D. Administer enalapril 2.5 mg PO twice daily.

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.

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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?

Nursing Test Bank

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