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. Ribbon-like stools
Explanation: Ribbon-like or pencil-thin stools are associated with conditions affecting the rectum, such as colorectal cancer, but they are not a typical sign of intussusception.
B. Profuse projectile vomiting
Explanation: Profuse projectile vomiting is not a typical sign of intussusception. Vomiting may occur, but it is not the primary characteristic feature.
C. Bright red blood and mucus in the stools
Explanation:
Intussusception is a condition in which one part of the intestine slides into another, causing a blockage. One of the classic signs of intussusception is the presence of "currant jelly" stools, which are characterized by a mixture of bright red blood and mucus in the stools. This occurs due to the compression of the blood vessels in the intestine, leading to bleeding and mucosal discharge.
D. Watery diarrhea
Explanation: Watery diarrhea is not a typical sign of intussusception. The condition is more commonly associated with abdominal pain, vomiting, and the characteristic "currant jelly" stools.
Correct Answer is ["A","B","D"]
Explanation
A. Varicella (VARI): Correct
Explanation: The varicella vaccine protects against chickenpox. The CDC recommends that children receive the first dose of the varicella vaccine at age 1.
B. Diphtheria, tetanus, and acellular pertussis (DTaP): Correct
Explanation: The DTaP vaccine protects against diphtheria, tetanus, and pertussis. The first dose is typically given at 2 months, with subsequent doses given at 4 months, 6 months, 15-18 months, and 4-6 years of age.
C. Human papillomavirus (HPV4): Incorrect
Explanation: The HPV vaccine is not typically administered at age 1. It is usually recommended for adolescents, starting around age 11 or 12. The HPV vaccine is given in a series of doses.
D. Measles, mumps, rubella (MMR): Correct
Explanation: The MMR vaccine protects against measles, mumps, and rubella. The first dose is usually given at age 1, with a second dose recommended at 4-6 years of age.
E. Rotavirus (RV): Incorrect
The rotavirus vaccine is usually given in a series of doses starting at 2 months of age, with the last dose administered by 8 months. It is not a vaccine that is typically given at age 1.
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