A 9-year-old child has been diagnosed with chickenpox. The nurse practitioner should instruct the mother to:
return to the clinic in 10 days for the child to receive the varicella vaccine (Varivax).
administer acetaminophen (Tylenol) as needed for discomfort.
apply retapamulin (Altabax) topically twice a day for 5 days.
apply hydrocortisone cream 1% topically as needed for itching.
The Correct Answer is B
Rationale:
A. The varicella vaccine is not indicated after infection, as the child has already developed immunity.
B. Acetaminophen (Tylenol) can be administered to manage fever and discomfort associated with chickenpox. This is supportive care, which is the mainstay of treatment.
C. Retapamulin (Altabax) is a topical antibiotic used for bacterial skin infections, not viral infections like chickenpox.
D. Hydrocortisone cream is generally not recommended for chickenpox lesions due to the risk of secondary infection; soothing measures like calamine lotion or oatmeal baths are preferred for pruritus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Ear pain alone may persist during the first few days of effective antibiotic therapy and is not an immediate indication to switch antibiotics.
B. Persistent redness of the tympanic membrane can also remain for several days, even with effective treatment.
C. Mobility of the tympanic membrane during pneumatic otoscopy suggests that fluid is not under high pressure, which is not an indication to change therapy.
D. A persistent high fever (≥102°F) after 48–72 hours of antibiotic therapy may indicate treatment failure or infection with a resistant organism. In such cases, the nurse practitioner should consider switching to an alternative antimicrobial or further evaluation.
Correct Answer is C
Explanation
Rationale:
A. Inward or outward toeing refers to metatarsus adductus or rotational deformities of the feet, not genu valgum.
B. Bow-leggedness is called genu varum, not genu valgum.
C. Genu valgum is commonly referred to as knock knees, where the knees angle inward and touch each other when the legs are straightened.
D. Clubfoot (talipes equinovarus) is a congenital deformity of the foot, unrelated to knee alignment.
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