A 4 year old child presents with varicella and vesicular rash in various stages of healing. Which statement by the parent indicates understanding of the teaching?

I can give my children's spin for fever

Once the fever has gone away my child can go back to school

Once some of the lesions are crusted over, the child is not contagious

I can use cool/tepid water to sponge-bathe my child while the lesions are present

Answer and Explanation

The Correct Answer is C

A. Ibuprofen can be used for fever, but it is important to check if the child has varicella before administering due to potential Reye's syndrome.

B. The child should stay home until all lesions have crusted over to prevent spreading the virus, even if the fever is gone.

C. Once lesions have crusted, the child is no longer contagious, indicating understanding of the contagious period.

D. Using cool or tepid water is acceptable for soothing itching; however, it does not specifically address the need for proper care during the contagious phase.

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Correct Answer is ["C","D"]

Explanation

A. Frequent, thorough handwashing is essential to prevent infection, especially for immunocompromised children.

B. Having the child sleep in a separate bed and room may help minimize exposure to pathogens from family members.

C. Encouraging frequent close contact with visitors increases the risk of infections and should be avoided.

D. Fresh flowers and plants can harbor bacteria and should be avoided in the environment of an immunocompromised child.

E. Protecting the central venous access device is vital to prevent infections; this practice should be emphasized.

A. I will remind my child to wash their hands well and frequently B. I will remind my child not to touch their face while the rash is present C. I will give my child a separate towel from other family members D. I will fill a prescription for antiviral ointment to apply to the rash

Correct Answer is D

Explanation

A. Encouraging handwashing is important to prevent spreading infection and shows understanding of hygiene practices.

B. Advising the child not to touch their face is important to prevent secondary infections and spread of the rash.

C. Providing a separate towel helps prevent the spread of infection, demonstrating good understanding of precautions.

D. Filling a prescription for antiviral ointment is inappropriate in this case; the honey-crusted plaques suggest impetigo, which is typically treated with topical or oral antibiotics, not antiviral ointment.

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A 4 year old child presents with varicella and vesicular rash in various stages of healing. Which statement by the parent indicates understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression. Which of the following SHOULD NOT be included in the teaching plan for the child and parents about reducing the child's risk for infection? Select all that apply

Correct Answer is ["C","D"]

Explanation

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Correct Answer is D

Explanation

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