A nurse is assessing an infant who has acute otitis media.
Which of the following findings should the nurse expect? (Select all that apply.)

Choice A rationale:

Rotavirus is a common cause of diarrhea in children and is preventable by vaccination. However, it is not specifically indicated for a child with sickle cell anemia.

Choice B rationale:

Pneumococcal conjugate (PCV13) vaccine protects against infections caused by the bacteria Streptococcus pneumoniae, which can lead to severe complications in individuals with sickle cell anemia, including pneumonia and sepsis. Immunization with PCV13 is crucial to prevent these potentially life-threatening infections in individuals with sickle cell anemia.

Choice C rationale:

Measles, mumps, and rubella (MMR) vaccine is essential for preventing these viral infections. However, it is not directly related to the specific health needs of a child with sickle cell anemia.

Choice D rationale:

Respiratory syncytial virus (RSV) is a common respiratory virus that can cause severe respiratory infections in young children, especially those with underlying health conditions like sickle cell anemia. RSV immunization is important to prevent serious respiratory complications in these vulnerable individuals.

Choice A rationale:

Soaking combs and brushes in boiling water for 10 minutes is a good practice to kill scabies mites that might be present on these items. However, it's not the primary mode of transmission for scabies. Scabies spreads through direct, prolonged, skin-to-skin contact with a person who has scabies. While cleaning items like combs and brushes is essential, treating close contacts is more critical to prevent reinfestation.

Choice B rationale:

Treating everyone who came into close contact with the child is the correct approach. Scabies is highly contagious and can easily spread to family members and close contacts. To effectively control the spread of the infestation, everyone who has been in close contact with the infested person should be treated simultaneously, even if they do not show symptoms.

Choice C rationale:

Applying petroleum jelly to the affected areas is not a recommended treatment for scabies. Scabies is caused by the Sarcoptes scabiei mite burrowing into the skin, and petroleum jelly does not effectively kill the mites. Medicated creams or lotions prescribed by a healthcare provider are the standard treatment for scabies.

Choice D rationale:

Washing the child's hair with shampoo containing ketoconazole is not a recommended treatment for scabies. Ketoconazole is an antifungal medication and is not effective against scabies mites. The primary treatment for scabies involves topical medications, such as permethrin cream or oral medications in severe cases.