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

Rationale:

A) Scarlet fever is not a nationally notifiable condition.

B) Rotavirus is not a nationally notifiable condition.

C) Erythema infectiosum (Fifth disease) is not a nationally notifiable condition.

D) Pertussis, also known as whooping cough, is a nationally notifiable condition, meaning healthcare providers are required to report cases of pertussis to public health authorities for surveillance and control purposes.

Rationale:

A) Morning stiffness in the joints is a common symptom of juvenile idiopathic arthritis and is expected in this client population. It does not require immediate reporting to the provider.

B) Taking a multivitamin containing iron is generally not concerning and may even be beneficial for clients with arthritis who may have dietary deficiencies. It does not require immediate reporting to the provider.

C) The presence of blood in the stool may indicate gastrointestinal bleeding, a potential adverse effect of long-term ibuprofen use. This symptom should be reported to the provider promptly for further evaluation.

D) Skipping ibuprofen doses occasionally, particularly if the client missed one dose, may not be concerning unless it becomes a pattern of non-compliance. It does not require immediate reporting to the provider, although it should be addressed during routine follow-up.