A client with suspected measles has Koplik spots in the mouth. Which nursing intervention is appropriate for this client?
Provide oral care with mouthwash containing alcohol.
Offer spicy and acidic foods to encourage appetite.
Rinse the mouth with warm saline solution.
Apply topical corticosteroid ointment to the spots.
The Correct Answer is C
Choice A rationale:
Providing oral care with mouthwash containing alcohol is not appropriate for a client with suspected measles and Koplik spots in the mouth. Alcohol-based mouthwashes can be irritating to the mucous membranes and may exacerbate the symptoms.
Choice B rationale:
Offering spicy and acidic foods to encourage appetite is not appropriate for a client with measles and Koplik spots. Spicy and acidic foods may cause discomfort and irritation to the oral mucosa, making the condition worse.
Choice C rationale:
Rinsing the mouth with warm saline solution is the correct nursing intervention for a client with measles and Koplik spots. Saline solution helps soothe the irritated mucous membranes and can aid in reducing discomfort.
Choice D rationale:
Applying topical corticosteroid ointment to the spots is not appropriate for a client with measles and Koplik spots. Corticosteroids can suppress the immune response, which may interfere with the body's ability to fight off the measles virus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Maculopapular rash is a characteristic symptom of the rash stage, not the prodrome stage of measles.
Choice B rationale:
Conjunctivitis can be seen during the prodrome stage of measles, where the eyes become red, watery, and sensitive to light.
Choice C rationale:
Koplik spots are small, white spots with a bluish-white center and a red halo that appear on the buccal mucosa, and they are classic signs seen during the prodrome stage of measles.
Choice D rationale:
Cough and coryza, which include symptoms like a runny nose and cough, are commonly observed during the prodrome stage of measles.
Choice E rationale:
Hyperpigmentation of the skin is not a symptom typically associated with the prodrome stage of measles.
Correct Answer is C
Explanation
Measles is transmitted through respiratory droplets and person-to-person contact.
Choice A rationale:
Measles is not transmitted through contaminated water sources. It is a highly contagious viral infection that primarily spreads through respiratory droplets when an infected person coughs or sneezes.
Choice B rationale:
Measles is not transmitted through contact with infected animals. It is a human-specific virus and does not infect animals.
Choice C rationale:
This is the correct choice. Measles is primarily transmitted through respiratory droplets when an infected person coughs or sneezes. It can also spread through direct contact with respiratory secretions or airborne particles.
Choice D rationale:
Measles is not transmitted through exposure to contaminated food. The virus is not foodborne, and the main mode of transmission is person-to-person through respiratory droplets.
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