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

The correct answer is Choice B.

Choice A rationale

Amphotericin B is an antifungal medication and is not used to treat impetigo, which is a bacterial infection.

Choice B rationale

Initiating contact isolation precautions is appropriate for impetigo contagiosa to prevent the spread of the highly contagious bacterial infection.

Choice C rationale

Lidocaine ointment is used for pain relief and is not a treatment for impetigo.

Choice D rationale

Impetigo is not a reportable disease to the state health department.

The correct answer is Choice A.

Choice A rationale

Weighing the child once per day is crucial in the acute stage of nephrotic syndrome to monitor fluid retention and the effectiveness of treatment. Daily weight monitoring helps in assessing the child’s fluid balance and detecting any sudden weight gain, which could indicate worsening edema.

Choice B rationale

Increasing fluid intake to 2 L/day is not recommended for a child in the acute stage of nephrotic syndrome. This condition is characterized by significant protein loss leading to edema, and increasing fluid intake would exacerbate the problem. Fluid restriction is often necessary to manage edema.

Choice C rationale

Positioning the child supine at bedtime is not beneficial for managing nephrotic syndrome. Elevating the child’s head and legs can help reduce edema, while supine positioning might worsen it by allowing fluid to accumulate in dependent areas.

Choice D rationale

Limiting calorie intake to 45 cal/kg/day is not appropriate for a child with nephrotic syndrome. Adequate nutrition is essential for healing and recovery, and restricting calories could be harmful. The focus should be on providing a balanced diet to support the child’s overall health.