On assessment, the school nurse notes that the child has a rash. The nurse suspects that the child has erythema infectiosum (fifth disease). because the skin assessment revealed a rash that has which characteristics?
A highly pruritic profuse macule to papule rash on the trunk
A discrete pinkish red maculopapular rash that is spreading to the trunk
An erythema on the face that has a "slapped face appearance
A discrete rose-pink maculopapular rash on the trunk
The Correct Answer is C
A. A highly pruritic profuse macule to papule rash on the trunk
Explanation: This description does not fit the typical characteristics of erythema infectiosum. Fifth disease is not typically associated with a highly pruritic rash.
B. A discrete pinkish red maculopapular rash that is spreading to the trunk
Explanation: While erythema infectiosum does involve a rash that can spread to the trunk, the distinctive "slapped face" appearance is a key characteristic that is not captured in this option.
C. An erythema on the face that has a "slapped face" appearance.
Explanation:
Erythema infectiosum, commonly known as fifth disease or slapped cheek syndrome, is characterized by a distinctive facial rash that gives the appearance of a "slapped face." The rash typically starts on the face and then spreads to the trunk and extremities. It often begins with erythema on the cheeks, giving the child a flushed or slapped appearance, followed by a discrete rose-pink maculopapular rash on the trunk.
D. A discrete rose-pink maculopapular rash on the trunk
Explanation: This description fits the typical characteristics of the rash seen in erythema infectiosum, but the key identifier is the "slapped face" appearance on the face.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will have my child wear soft fabric clothing under the brace."
Explanation: Wearing soft fabric clothing under the brace can enhance comfort and reduce the risk of irritation. This is a suitable practice.
B. "I need to apply lotion under the brace to prevent skin breakdown."
Explanation:
Applying lotion under the brace may lead to moisture accumulation and skin breakdown. It is generally recommended to keep the skin clean and dry under the brace to prevent irritation and pressure sores. Lotions or creams can contribute to moisture, potentially causing skin problems.
C. "I need to avoid the use of powder because it will cake under the brace."
Explanation: Powder can accumulate and cake under the brace, leading to skin issues. This statement is correct, emphasizing the importance of avoiding the use of powder.
D. "I will encourage my child to perform prescribed exercises."
Explanation: Encouraging the child to perform prescribed exercises is essential for maintaining flexibility and strength. This statement reflects a positive and supportive approach to managing scoliosis.
Correct Answer is ["260"]
Explanation
To calculate the total fluid intake, add the volumes of each item consumed:
Juice: ½ cup
1 cup = 240 mL
½ cup = 240 mL / 2 = 120 mL
Gelatin: 3 oz
1 oz ≈ 30 mL
3 oz = 3 * 30 mL = 90 mL
Ice pop: 1 oz
1 oz ≈ 30 mL
1 oz = 30 mL
Ginger ale: 20 mL
Now, add these values:
120 mL (juice) + 90 mL (gelatin) + 30 mL (ice pop) + 20 mL (ginger ale) = 260 mL
Therefore, the nurse should record 260 mL as the child's fluid intake.
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