Which of the following is a priority intervention to provide comfort for the child with pruritus associated with varicella zoster virus?

Apply a thick coat of calamine lotion over open lesions.

Give diphenhydramine by mouth.

Apply a cool cloth to the rash.

Give ibuprofen or acetaminophen.

Answer and Explanation

The Correct Answer is C

A.   While calamine lotion can be soothing and help alleviate itching, applying a thick coat over open lesions is not advisable. It may not allow the skin to breathe and can potentially lead to further irritation or infection. Therefore, while this option has some merit, it is not the priority intervention.
B.   Diphenhydramine (Benadryl) is an antihistamine that can help relieve itching. This option can be beneficial for managing pruritus and may help the child sleep better. However, while it can be useful, there are other interventions that can provide immediate comfort more effectively.
C.   Applying a cool cloth to the rash is an immediate and effective way to provide comfort and relieve itching. The coolness can soothe inflamed skin and reduce the urge to scratch, which helps prevent secondary infections.
D.   While giving ibuprofen or acetaminophen can help reduce fever and discomfort associated with varicella, it does not specifically address pruritus. These medications are helpful for pain management but are not the best choice for alleviating itching directly.

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Correct Answer is C

Explanation

A. Frequent handwashing is critical in preventing the spread of infections, especially when one person in the household is ill with gastroenteritis. This practice indicates good hygiene and care for the client.
B. Drinking an electrolyte solution can help the spouse stay hydrated, especially when experiencing frequent loose stools due to gastroenteritis. Staying hydrated is essential for recovery.
C. If the spouse is actively preparing food for the client while having gastroenteritis, there is a risk of contaminating the food, which could lead to the client becoming ill. The client may be more vulnerable to infections, particularly following a stroke, and it is crucial to prevent exposure to any pathogens.
D. This observation is a good practice as it helps prevent the spread of germs. Using separate personal items, like a toothbrush and toothpaste, can minimize the risk of transmitting infections.

A. Assess breathing pattern for snoring. B. Assess mucous membranes for moisture. C. Assess pain level. D. Observe for continuous swallowing.

Correct Answer is D

Explanation

A. While changes in breathing patterns can indicate airway obstruction, snoring alone is not the most specific indicator of a complication after tonsillectomy. It could indicate swelling or an obstructed airway but does not specifically indicate bleeding.

B. Checking the mucous membranes for moisture is important in general nursing care to assess hydration status. However, it is not the most immediate priority in the post-tonsillectomy setting, where the primary concern is to monitor for bleeding.
C. Assessing pain is important for overall patient comfort and to evaluate the effectiveness of pain management strategies. However, pain alone does not directly indicate a complication like bleeding, which is a critical concern in this scenario.
D. Continuous swallowing can be an early sign of bleeding after tonsillectomy, as patients may swallow frequently to clear blood from the throat. If a patient is swallowing more often than normal, it could indicate that they are swallowing blood, which would require immediate intervention.

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Which of the following is a priority intervention to provide comfort for the child with pruritus associated with varicella zoster virus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse makes a home care visit to a client with a diagnosis of right sided stroke. The client's spouse reports that she was recently diagnosed with gastroenteritis and is having frequent loose stools. The nurse is most concerned with which observation?

Correct Answer is C

Explanation

When caring for a patient that has undergone a tonsillectomy, the nurse's priority assessment in identifying a potential complication would include?

Correct Answer is D

Explanation

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