A nurse is collecting data from a child who has measles. Which of the following manifestations should the nurse expect?

Paroxysmal cough

Koplik spots

Facial erythema

Peeling of the hands and feet

Answer and Explanation

The Correct Answer is B

A. Paroxysmal cough. While a cough is a common symptom of measles, a paroxysmal (sudden, intense, and repetitive) cough is more characteristic of pertussis (whooping cough). Measles typically presents with a persistent, dry cough rather than severe coughing fits.
B. Koplik spots. These are small, white lesions with a red halo that appear on the buccal mucosa (inside of the cheeks) 1 to 2 days before the characteristic measles rash develops. Koplik spots are a hallmark sign of measles and help confirm the diagnosis before the onset of the widespread rash.
C. Facial erythema. While measles causes a maculopapular rash that spreads from the face downward, it does not typically present with isolated facial erythema. Facial redness is more commonly associated with conditions like fifth disease (erythema infectiosum), which is caused by parvovirus B19.
D. Peeling of the hands and feet. This symptom is more characteristic of Kawasaki disease or scarlet fever, not measles. Measles causes a diffuse maculopapular rash that darkens and may desquamate (shed) slightly, but significant peeling of the hands and feet is not a typical finding.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. "I can stop giving my child this medication if he is taking a steroid." Montelukast is a leukotriene receptor antagonist used for long-term asthma management and should not be discontinued without consulting a provider. It can be used alongside inhaled corticosteroids for better asthma control.
B. "I will give this medication to my child once daily in the evening." Montelukast is typically administered once daily in the evening because leukotrienes contribute to airway inflammation and bronchoconstriction, which can be more pronounced at night. Evening administration maximizes its effectiveness in preventing asthma symptoms.
C. "It takes 2 months of scheduled use before this medication is effective." Montelukast begins to show effects within a few days to a few weeks of consistent use, not two months. However, it is not a rescue medication and should be taken regularly for long-term asthma control.
D. "I will give this medication to my child every 2 hours if he is wheezing." Montelukast is not a rescue medication and does not provide immediate relief for acute bronchospasms. A short-acting beta-agonist, such as albuterol, should be used for rapid symptom relief during wheezing episodes.

A. Cleanse skin eruptions with povidone-iodine. B. Avoid over-the-counter topical ointments. C. Administer an antibiotic medication. D. Place disposable thermometers in the client's room.

Correct Answer is A

Explanation

A. Cleanse skin eruptions with povidone-iodine. Cleaning the skin eruptions with a mild antiseptic like povidone-iodine can help reduce the risk of secondary bacterial infections and promote healing. Keeping the affected area clean is important in managing herpes simplex outbreaks.
B. Avoid over-the-counter topical ointments. Over-the-counter topical ointments are often recommended to help soothe the skin and alleviate discomfort during a herpes simplex outbreak. While some ointments may not be effective against the virus, it is not necessary to avoid all topical products.
C. Administer an antibiotic medication. Herpes simplex is caused by a virus, so antibiotics, which are effective against bacterial infections, would not be appropriate for treating this condition. Antiviral medications such as acyclovir or valacyclovir are indicated instead to help manage outbreaks.
D. Place disposable thermometers in the client's room. There is no specific need for disposable thermometers for a client with a herpes simplex outbreak. Standard infection control practices are sufficient, and there is no risk of contamination related to herpes that would require special thermometers.

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A nurse is collecting data from a child who has measles. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is contributing to the plan of care for a client who is experiencing a herpes simplex outbreak. Which of the following interventions should the nurse recommend?

Correct Answer is A

Explanation

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