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 C
Explanation
A. "Range-of-motion exercises must be performed every day."
Explanation: While range-of-motion exercises are important for maintaining joint flexibility in juvenile idiopathic arthritis, it is not advisable to perform these exercises during painful exacerbations. The frequency and intensity of exercises may need to be adjusted based on the child's current condition.
B. "Administer additional pain medication before performing range-of-motion exercises."
Explanation: While pain management is important in the care of a child with juvenile idiopathic arthritis, relying solely on pain medication before exercises may not be the most effective approach. Isometric exercises that are less likely to cause pain can be a better option during exacerbations.
C. "Have the child perform simple isometric exercises during this time."
Explanation:
During a painful exacerbation of juvenile idiopathic arthritis, it is important to maintain joint flexibility and prevent joint contractures. Simple isometric exercises that do not involve joint movement can help in maintaining muscle strength and joint flexibility without exacerbating pain. Range-of-motion exercises may be too painful during an exacerbation, but isometric exercises can be less painful and still beneficial.
D. "Avoid all exercise during painful periods."
Explanation: Complete avoidance of exercise during painful periods is not recommended. Maintaining joint flexibility and muscle strength is important for managing juvenile idiopathic arthritis. However, the type and intensity of exercises should be adjusted based on the child's pain level during exacerbations.
Correct Answer is B
Explanation
A. Rye toast
Explanation: Rye contains gluten, so it is not suitable for individuals with celiac disease. It should be avoided in a gluten-free diet.
B. Rice
Explanation:
Celiac disease is a condition characterized by an immune reaction to gluten, a protein found in wheat, barley, and rye. Individuals with celiac disease must follow a gluten-free diet to manage the condition. Rice is a gluten-free grain and is safe for individuals with celiac disease to include in their diet.
C. Wheat bread
Explanation: Wheat contains gluten, and products made from wheat, such as wheat bread, should be avoided in a gluten-free diet for individuals with celiac disease.
D. Oatmeal
Explanation: Oats themselves are gluten-free, but cross-contamination can occur during processing. Some individuals with celiac disease can tolerate pure, uncontaminated oats, but it's essential to ensure that the oats are labeled gluten-free. Regular oats may be cross-contaminated with gluten-containing grains during processing.
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