A 6-year-old child has been diagnosed with varicella (chickenpox) and is being cared for at home. Which of the following measures should the nurse recommend to the child's parents to prevent complications and promote comfort?
Apply warm compresses to the child's lesions to relieve itching
Encourage the child to take frequent baths with cool water to soothe the itchy skin
Administer over-the-counter antiviral medication to shorten the duration of the illness
Keep the child's fingernails short to prevent scratching and minimize the risk of skin infection
Correct Answer : B,D
A. Warm compresses can worsen irritation and are not recommended.
B. Cool baths help relieve itching by soothing irritated skin without increasing inflammation.
C. Antiviral medications like acyclovir require a prescription and are typically only given in severe cases or for high-risk children (e.g., immunocompromised).
D. Keeping the child's nails short reduces the risk of secondary bacterial infections from scratching the lesions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Epinephrine is the first-line treatment for anaphylaxis because it rapidly reverses airway constriction, hypotension, and swelling.
B. Furosemide is a diuretic and has no role in anaphylaxis treatment.
C. Methylprednisolone (a corticosteroid) is used for inflammation but has a delayed onset and is not the priority.
D. Dobutamine is a cardiac inotrope, not used for anaphylaxis.
Correct Answer is D
Explanation
A. While the physician should be informed, the priority action is to stop the bleeding first before seeking further medical advice.
B. The Trendelenburg position (feet elevated) does not directly control bleeding and is not recommended for bleeding at a catheterization site.
C. Simply placing a new bandage does not provide adequate pressure to stop active bleeding.
D. Applying direct pressure above the catheterization site is the priority to stop bleeding and prevent complications like hypovolemic shock.
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