A nurse caring for a child who has chickenpox. Which of the following medications should the nurse anticipate for the child?

Aspirin

Corticosteroid cream

Oral antihistamine

Oral antibiotics

Answer and Explanation

The Correct Answer is C

A. Aspirin. Aspirin should never be given to a child with chickenpox due to the risk of Reye's syndrome, a rare but serious condition that can cause liver and brain damage when aspirin is used during viral infections.

B. Corticosteroid cream. While corticosteroids reduce inflammation, they are not recommended for chickenpox because they can suppress the immune response and potentially worsen the infection.

C. Oral antihistamine. Antihistamines such as diphenhydramine help relieve severe itching, which is a common symptom of chickenpox. Reducing itchiness can also help prevent scratching that may lead to skin infections and scarring.

D. Oral antibiotics. Chickenpox is caused by the varicella-zoster virus, so antibiotics are not needed unless a secondary bacterial infection (such as impetigo) develops from scratching the lesions.

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Correct Answer is C

Explanation

A. "Warming blankets can minimize the body changes in deceased children." After death, the body naturally cools (algor mortis), and circulation ceases, leading to skin color changes and rigidity. Warming blankets cannot prevent or reverse these postmortem changes.

B. "A nurse must obtain locks of hair from the deceased child." While some families may request a lock of hair as a keepsake, it is not a mandatory practice. The decision to keep a lock of hair is up to the family, and their consent should be obtained.

C. "Several members of the team will assist you after your child dies." Hospice staff, social workers, grief counselors, and chaplains are available to support the family emotionally and practically after their child's passing. This ensures compassionate care and bereavement support.

D. "A provider will explain the changes you may see in your child's body after they have died." Nurses often take the lead in preparing families for expected physical changes (e.g., cooling, skin color changes, loss of muscle tone). While a provider may also be involved, nurses play a key role in this discussion.

A. "Tetralogy of Fallon is a group of four heart defects that impact circulation of blood in your child's body. These are pulmonary stenosis, ventricular septal defect,right ventricular hypertrophy and an overriding aorta.” B. "Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to the atypical placement of the aorta." C. "Tetralogy of Fallot is a group of the heart defects that impact the circulation of blood in your child's body. These are aortic stenosis, atrial septal defect, and left ventricular hypertrophy.” D. "Tetralogy of Fallot is a heart defect that impacts the circulation in your child's body due to an opening in the wall between the ventricles, causing mixing of oxygenated and deoxygenated blood.”

Correct Answer is A

Explanation

A. "Tetralogy of Fallot is a group of four heart defects that impact circulation of blood in your child's body. These are pulmonary stenosis, ventricular septal defect, right ventricular hypertrophy, and an overriding aorta." This is the correct definition of Tetralogy of Fallot. The four defects result in decreased oxygenation of blood, leading to cyanosis and other circulatory problems that require medical intervention.

B. "Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to the atypical placement of the aorta." While an overriding aorta is one of the four defects in Tetralogy of Fallot, it is not the sole cause of circulatory problems. The condition results from a combination of four structural abnormalities, not just aortic malposition.

C. "Tetralogy of Fallot is a group of heart defects that impact the circulation of blood in your child's body. These are aortic stenosis, atrial septal defect, and left ventricular hypertrophy." This statement describes different congenital heart defects but does not accurately define Tetralogy of Fallot. Aortic stenosis and atrial septal defects are not components of this condition.

D. "Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to an opening in the wall between the ventricles, causing mixing of oxygenated and deoxygenated blood." While a ventricular septal defect (VSD) is one of the four components, it is not the only issue affecting circulation. The combination of all four defects contributes to the condition's severity.

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A nurse caring for a child who has chickenpox. Which of the following medications should the nurse anticipate for the child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about the dying process to prepare a family for when their terminally ill child dies. Which of the following statements should the nurse include?

Correct Answer is C

Explanation

A nurse is assisting in the care of an infant diagnosed with tetralogy of Fallot. The infant's caregiver asks the nurse to explain this diagnosis. Which of the following is an accurate statement about this condition?

Correct Answer is A

Explanation

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