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.

Apply lidocaine ointment topically.

Initiate contact isolation precautions.

Report the disease to the state health department.

Answer and Explanation

The Correct Answer is C

A.   Administering amphotericin B IV is not indicated for impetigo contagiosa, which is typically treated with topical antibiotics.
B.   Applying lidocaine ointment topically is not indicated for impetigo contagiosa and would not address the infection.
C.   Initiating contact isolation precautions is appropriate for impetigo contagiosa to prevent the spread of the infection to other patients and healthcare workers.
D.   Reporting the disease to the state health department may be necessary for certain communicable diseases but is not the immediate action required in this scenario.

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Correct Answer is A

Explanation

A. A child with HIV is at increased risk of developing tuberculosis and should be screened annually.
B. This is incorrect because the risk of transmission does not depend on the duration of zidovudine therapy, but on the viral load and the exposure to body fluids.
C. Doubling medications is not a standard practice in HIV management and may lead to medication errors or adverse effects.
D. Childhood immunizations are important for children with HIV, but they may need to be adjusted based on the child's immune status and treatment regimen, not just during remission.

A. Weigh the child once per day. B. Position the child supine at bed time. C. Limit calorie intake to 45 cal/kg/day. D. Increase fluid intake to 2 L/day. E. Increase fluid intake to 2 L/day.

Correct Answer is A

Explanation

A. The nurse should weigh the child once per day, preferably in the morning and using the same scale and clothing, to monitor fluid status and response to treatment. Weight is the most accurate indicator of fluid balance in children with nephrotic syndrome.
B. Positioning the child supine at bedtime is not specifically indicated for the acute stage of nephrotic syndrome. This can worsen edema and respiratory distress.
C. Limiting calorie intake to 45 cal/kg/day is too low and can cause malnutrition and growth failure. The nurse should provide a high-calorie, high-protein, low-sodium diet to meet the child's nutritional needs and prevent muscle wasting.
D. Increasing fluid intake to 2 L/day is contraindicated in a child with nephrotic syndrome, as it can exacerbate edema and fluid overload. The nurse should restrict fluid intake according to the provider's orders and based on the child's weight and urine output.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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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?