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.
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Related Questions
Correct Answer is D
Explanation
A. A 2-year-old toddler – Not the standard age for MCV4; however, high-risk infants (e.g., asplenic children) may receive a different meningococcal vaccine.
B. A 4-month-old infant – Too young for MCV4; infants may receive the MenB vaccine in special cases.
C. A 4-year-old child – Not part of the routine meningococcal vaccine schedule.
D. An 11-year-old school-age child – The MCV4 vaccine is recommended at ages 11-12, with a booster at age 16 to protect against bacterial meningitis.
Correct Answer is C
Explanation
A. Increased urine output – Decreased urine output is expected due to poor renal perfusion.
B. Hypertension – Heart failure in children typically causes low blood pressure due to poor cardiac output.
C. Diaphoresis – Increased sympathetic nervous system activity in pediatric heart failure leads to excessive sweating, especially during feeding.
D. Bradycardia – Tachycardia, not bradycardia, is a key sign of heart failure as the heart tries to compensate for poor circulation.
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