A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate?

Rationale:

A) Clotrimazole troches do not require refrigeration after each use.

B) Clotrimazole troches are meant to be dissolved slowly in the mouth over a period of time, typically around 15 to 30 minutes, for optimal effectiveness.

C) Crushing the troche and mixing it with applesauce may alter the medication's effectiveness and is not recommended.

D) White patches appearing in the mouth may indicate the persistence or worsening of oral candidiasis, and stopping the medication would be inappropriate without consulting a healthcare provider.

Rationale:

A) Watching cartoons with peers may increase the risk of transmitting varicella- zoster virus to other children who may not be immune, as well as expose the child to potential infections from other sick children.

B) Pulling a wagon of stuffed animals in the hallway is too strenuous for a child with pneumonia.

C) Writing a letter to send to a friend may be an appropriate activity for a child with pneumonia, but it involves sitting still for an extended period, which may not be as beneficial as a more physically engaging activity.

D) Playing an alphabet flashcard game with the parent is appropriate for a 4-year-old child's cognitive development and does not require physical exertion or exposure to other children who might be susceptible to varicella zoster infection.