A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Administer amphotericin B IV.
Initiate contact isolation precautions.
Apply lidocaine ointment topically.
Report the disease to the state health department.
The Correct Answer is B
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is D. Initiate airborne precautions.
Choice A rationale
Assessing the oral cavity for Koplik spots is not relevant for varicella. Koplik spots are associated with measles, not varicella. Varicella, also known as chickenpox, typically presents with a rash that starts on the trunk and spreads to the rest of the body, along with other symptoms like fever and malaise.
Choice B rationale
Administering aspirin for fever is contraindicated in children with varicella due to the risk of Reye’s syndrome. Reye’s syndrome is a rare but serious condition that can occur when aspirin is given to children with certain viral infections, including varicella. It can cause swelling in the liver and brain.
Choice C rationale
Providing the child with a warm blanket can offer comfort to the child, helping to alleviate chills or discomfort associated with fever. However, it is not a specific intervention for managing varicella. The primary focus should be on preventing the spread of the infection through appropriate precautions.
Choice D rationale
Initiating airborne precautions is essential for preventing the spread of varicella. Varicella is transmitted via airborne droplets, and using airborne precautions (such as negative air-flow rooms) helps prevent the spread of the virus to other patients and healthcare workers. If negative air-flow rooms are not available, isolating patients in closed rooms with no contact with people without evidence of immunity is recommended.
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Offering a prize for not crying can create undue pressure and anxiety for the child.
Choice B rationale
Telling the child the medicine will fix them can be misleading and does not provide accurate information about the procedure.
Choice C rationale
Allowing the child to choose which leg to receive the injection in gives them a sense of control and can reduce anxiety.
Choice D rationale
Telling the child they will only feel a little stick can be misleading and may not adequately prepare them for the discomfort.
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