A nurse is caring for a child who has chickenpox. Which of the following actions should the nurse take? (Select all that apply.)
Place the child in a private room with negative air pressure.
Wear gloves and a gown when entering the room.
Apply calamine lotion to the skin lesions.
Administer acyclovir as prescribed.
Give aspirin for fever and pain relief.
Correct Answer : B,C,D
Choice A reason: This is an incorrect action. The nurse should place the child in a private room with negative air pressure only if the child has an airborne infection, such as tuberculosis or measles. Chickenpox is transmitted by both airborne and contact routes, so a private room with positive air pressure is sufficient.
Choice B reason: This is a correct action. The nurse should wear gloves and a gown when entering the room to prevent contact transmission of chickenpox.
Choice C reason: This is a correct action. The nurse should apply calamine lotion to the skin lesions to relieve itching and prevent scratching.
Choice D reason: This is a correct action. The nurse should administer acyclovir as prescribed to reduce viral shedding and shorten the duration of symptoms.
Choice E reason: This is an incorrect action. The nurse should not give aspirin for fever and pain relief to a child who has chickenpox, because it can increase the risk of Reye syndrome, a rare but serious condition that affects the liver and brain.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not a priority intervention. The nurse should encourage oral fluids and soft foods to prevent dehydration and maintain nutrition, but this is not as important as monitoring the child for respiratory distress.
Choice B reason: This is an incorrect intervention. The nurse should not administer antitussive medication to a child who has pertussis, because it can suppress the cough reflex and increase the risk of mucus accumulation and airway obstruction.
Choice C reason: This is not a priority intervention. The nurse should provide humidified oxygen via nasal cannula to moisten the airways and ease breathing, but this is not as important as monitoring the child for respiratory distress.
Choice D reason: This is a priority intervention. The nurse should monitor the child for signs of respiratory distress, such as cyanosis, tachypnea, retractions, or nasal flaring, because pertussis can cause severe coughing spells that can interfere with breathing.
Correct Answer is C
Explanation
Choice A reason: This is not a possible source of infection. Wiping from front to back after using
the toilet can prevent bacteria from entering the urinary tract and causing infection.
Choice B reason: This is not a possible source of infection. Drinking plenty of water and cranberry juice every day can help flush out bacteria from
the urinary tract and prevent infection.
Choice C reason: This is a possible source of infection. Taking bubble baths with toys can introduce bacteria into
the urinary tract and cause infection.
Choice D reason: This is not a possible source of infection. Wearing cotton underwear and loose-fitting pants can allow air circulation and prevent moisture buildup in
the genital area, which can reduce
the risk of infection.
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