A nurse is collecting data from a school-age child who has erythema infectiosum (fifth disease). The nurse should expect the rash to appear on which area of the child's body first? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
The Correct Answer is "{\"xRanges\":[89.828125,109.828125],\"yRanges\":[84,104]}"
A. The nurse should expect the rash to appear first on the child's cheeks. Erythema infectiosum, also known as fifth disease, typically begins with a bright red rash on the cheeks, giving the appearance of "slapped cheeks"
B. This is often followed by a lacy, red rash that can spread to the arms, legs, and trunk
C. This is often followed by a lacy, red rash that can spread to the arms, legs, and trunk
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The new onset of lethargy in a child with endocarditis is a significant concern, as it can indicate worsening infection or complications such as embolism. This child requires urgent assessment to prevent further deterioration.
B. Erythema of the lips in a child with Kawasaki disease is concerning, but this symptom is expected as part of the disease process. However, other signs like fever and conjunctivitis would be more concerning.
C. An increased erythrocyte sedimentation rate (ESR) in a child with rheumatic fever suggests inflammation, but it is not an immediate life-threatening concern like the lethargy in endocarditis.
D. Weak pedal pulses in a toddler with coarctation of the aorta indicate circulatory compromise, but this child may not be in immediate danger as the condition is often diagnosed and managed with interventions like surgery or medication.
Correct Answer is D
Explanation
A. An increased pulse may occur as a response to a variety of factors, including the infection or the administration of the antibiotic, but it does not necessarily indicate a severe allergic reaction.
B. A maculopapular rash could be a mild allergic reaction or side effect to the antibiotic, but it is not as immediately concerning as wheezing, which could indicate an anaphylactic reaction.
C. A headache can be a side effect of antibiotics, but it is not typically an urgent concern unless accompanied by other signs of severe allergic reactions.
D. Wheezing is a critical finding and could indicate an allergic reaction or anaphylaxis, a potentially life-threatening condition. This symptom requires immediate attention and is the priority to report to the provider.
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