A nurse is assessing a child who has measles.
Which of the following areas should the nurse inspect for Koplik spots?

The correct answers are Choices C, D, and E.

Choice A rationale

Obtaining a throat culture is not recommended for a child with epiglottitis due to Haemophilus influenzae type B because it can cause further airway obstruction and distress.

Choice B rationale

Inspecting the epiglottis is not advisable as it can cause further airway obstruction and distress. Visualization of the epiglottis should be done in a controlled environment, such as an operating room, by a specialist.

Choice C rationale

Beginning droplet precautions is essential for preventing the spread of Haemophilus influenzae type B, which is transmitted through respiratory droplets.

Choice D rationale

Monitoring oxygen saturation is crucial for assessing the child’s respiratory status and ensuring adequate oxygenation.

Choice E rationale

Initiating IV access is necessary for administering medications and fluids to manage the child’s condition effectively.

The correct answer is C. “My child went to the bathroom two times when the alarm went off last night.”.

Choice A rationale

Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis. The goal of enuresis treatment is to help the child develop better bladder control and responsiveness to the need to urinate.

Choice B rationale

Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis. While Kegel exercises can be beneficial for strengthening pelvic muscles, they are not typically the primary focus of conditioning therapy for enuresis.

Choice C rationale

Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis. This statement suggests that the child is becoming more aware of the need to urinate and is responding appropriately to the alarm, which is a positive sign of treatment effectiveness.

Choice D rationale

Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration. It is important for children to maintain adequate hydration, and reducing fluid intake is not a recommended strategy for managing enuresis.