The nurse is caring for a school-age child with varicella. What should the nurse observe about the rash that is associated with this infection?
Dark red, macular lesions, and very pruritic
Various stages of lesions present at the same time, appear in successive crops, and very pruritic
Yellowish, scaly patches present on the scalp
A pink maculopapular rash starts at the hairline and spreads down the body
The Correct Answer is D
A. Dark red, macular lesions, and very pruritic:
Varicella lesions are typically pink or red and start as macules (flat, red spots) that develop into papules (raised bumps) and then vesicles (fluid-filled blisters). Dark red macular lesions are not commonly associated with varicella.
B. Various stages of lesions present at the same time, appear in successive crops, and very pruritic:
The presence of various stages of lesions (papules, vesicles, crusts) simultaneously, occurring in successive crops, and being intensely itchy are typical features of varicella.
C. Yellowish, scaly patches present on the scalp:
Yellowish, scaly patches on the scalp are not typical of varicella. This description is more indicative of conditions like seborrheic dermatitis rather than the rash associated with chickenpox.
D. A pink maculopapular rash starts at the hairline and spreads down the body.
Varicella rash usually begins as pink or red spots that develop into small, itchy, fluid-filled blisters (vesicles). These vesicles can then progress to form crusts and scabs. The rash often starts on the face, scalp, or trunk and then spreads to other parts of the body, gradually covering the entire body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Rubella:
Rubella is a viral infection that, when contracted by a pregnant woman during the first trimester, can lead to congenital rubella syndrome (CRS) in the developing fetus. CRS can result in severe birth defects, including heart abnormalities, hearing impairments, and vision problems.
B. Varicella-zoster:
Varicella-zoster virus causes chickenpox. While chickenpox can cause complications in certain populations, it is not specifically associated with severe defects in the fetus when the mother is infected during pregnancy.
C. Rubeola:
Rubeola, commonly known as measles, can lead to complications, but it is not as strongly associated with severe defects in the fetus if the mother is infected during pregnancy compared to rubella.
D. Mumps:
Mumps is generally not associated with severe defects in the fetus when the mother is infected during pregnancy. However, mumps infection during pregnancy can pose risks to the mother's health.
Correct Answer is D
Explanation
A. “My child has a vocabulary of approximately 20 words.”
This statement indicates language development, and an 18-month-old with a vocabulary of approximately 20 words is within the expected range. It's a positive indicator of language acquisition.
B. “My child is still thumb sucking.”
Thumb sucking is a common self-soothing behavior in infants and toddlers. While it's a normal behavior, it typically decreases with age. Thumb sucking alone may not necessarily be a cause for concern unless it persists significantly and interferes with other aspects of development.
C. “My child seems to be quite wary of strangers.”
Stranger anxiety is a normal developmental stage, and many children exhibit wariness or fear of unfamiliar people around the age of 18 months. It is considered a typical response and not necessarily indicative of developmental delay.
D. “My child is able to stand but is not yet taking steps independently.”
At 18 months, most children are expected to be walking independently. The inability to take independent steps might be a concern for gross motor skill development. While some variation is normal, a delay in achieving this milestone might prompt further evaluation to rule out any underlying developmental issues.
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