A nurse is educating parents about measles prevention. Which of the following statements accurately reflects how measles is transmitted?
Measles is transmitted through contaminated water sources.
Measles is transmitted through contact with infected animals.
Measles is transmitted through respiratory droplets and person-to-person contact.
Measles is transmitted through exposure to contaminated food.
The Correct Answer is C
Measles is transmitted through respiratory droplets and person-to-person contact.
Choice A rationale:
Measles is not transmitted through contaminated water sources. It is a highly contagious viral infection that primarily spreads through respiratory droplets when an infected person coughs or sneezes.
Choice B rationale:
Measles is not transmitted through contact with infected animals. It is a human-specific virus and does not infect animals.
Choice C rationale:
This is the correct choice. Measles is primarily transmitted through respiratory droplets when an infected person coughs or sneezes. It can also spread through direct contact with respiratory secretions or airborne particles.
Choice D rationale:
Measles is not transmitted through exposure to contaminated food. The virus is not foodborne, and the main mode of transmission is person-to-person through respiratory droplets.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The parent's statement about diarrhea leading to dehydration and electrolyte imbalance is correct. Measles can cause gastrointestinal symptoms, including diarrhea, which can lead to dehydration. Dehydration can occur due to fluid loss from diarrhea, and electrolyte imbalances can result from the loss of essential minerals. This statement reflects accurate understanding by the parent and does not indicate a need for further teaching.
Choice B rationale:
The parent's statement about pneumonia being the most common cause of death from measles in children is accurate. Measles can lead to respiratory complications, and pneumonia is one of the severe complications associated with the disease. The statement demonstrates the parent's awareness of a potential complication and is correct, indicating no need for further teaching.
Choice C rationale:
The parent's statement about encephalitis occurring in children within 1 week of rash onset and having a mortality rate of 10 to 20 percent is correct. Encephalitis is a rare but serious complication of measles that can lead to inflammation of the brain. The timeframe mentioned and the mortality rate are consistent with the known characteristics of measles-related encephalitis. This response shows good knowledge, and there is no need for further teaching.
Choice D rationale:
The parent's statement about SSPE (Subacute Sclerosing Panencephalitis) being a rare but fatal complication of measles that occurs years after infection and can be effectively treated with antiviral medications is incorrect. SSPE is indeed a rare but fatal complication of measles that occurs several years after initial infection. Unfortunately, there is no known cure for SSPE, and antiviral medications have not been proven to be effective in treating the condition. This statement indicates a need for further teaching to correct the misinformation and ensure the parent understands the seriousness of SSPE.
Correct Answer is C
Explanation
Choice A rationale:
Providing oral care with mouthwash containing alcohol is not appropriate for a client with suspected measles and Koplik spots in the mouth. Alcohol-based mouthwashes can be irritating to the mucous membranes and may exacerbate the symptoms.
Choice B rationale:
Offering spicy and acidic foods to encourage appetite is not appropriate for a client with measles and Koplik spots. Spicy and acidic foods may cause discomfort and irritation to the oral mucosa, making the condition worse.
Choice C rationale:
Rinsing the mouth with warm saline solution is the correct nursing intervention for a client with measles and Koplik spots. Saline solution helps soothe the irritated mucous membranes and can aid in reducing discomfort.
Choice D rationale:
Applying topical corticosteroid ointment to the spots is not appropriate for a client with measles and Koplik spots. Corticosteroids can suppress the immune response, which may interfere with the body's ability to fight off the measles virus.
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