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A nurse is planning care for a child who has varicella.
Which of the following interventions should the nurse plan to include?

Initiate airborne precautions.

Assess the oral cavity for Koplik spots.

Provide the child with a warm blanket.

Administer aspirin for fever.

Answer and Explanation

The Correct Answer is A

Varicella (chickenpox) is highly contagious and can be spread through the air by coughing or sneezing.

Airborne precautions help prevent the spread of the disease to others.

Choice B is wrong because Koplik spots are a symptom of measles, not varicella.

Choice C is wrong because providing a warm blanket is not a specific intervention for a child with varicella.

Choice D is wrong because aspirin should not be given to children with varicella due to the risk of Reye’s syndrome.

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Correct Answer is C

Explanation

A preschool-age child who has a muffled voice and no spontaneous cough should be assessed first.

These symptoms may indicate epiglottitis, which is a life-threatening condition that requires immediate medical attention.

Choice A, B and D are also important but not as urgent as choice C. A toddler with nephrotic syndrome and facial edema, an adolescent with Crohn’s disease and recent weight loss, and a school-age child with diabetes mellitus and a blood glucose of 200 mg/dL should be assessed after the preschool-age child with a muffled voice and no spontaneous cough.

A. Discourage the parents from allowing siblings to view the body. B. Avoid discussing details of the attempt to revive the infant. C. Provide a follow-up phone call 1 week following the infant's death. D. Acknowledge the family members' feelings of guilt.

Correct Answer is D

Explanation

Sudden infant death syndrome (SIDS) death has a devastating effect on parents.

There is no known cause, so parents experience guilt about what they might have done or not done to contribute to the death.

Acknowledging the family members’ feelings of guilt can help provide support to the family.

Choice A is wrong because there are no specific instructions discouraging the parents from allowing siblings to view the body.

Choice B is wrong because avoiding discussing details of the attempt to revive the infant may not necessarily provide support to the family.

Choice C is wrong because while providing a follow-up phone call 1 week following the infant’s death may be helpful, it is not the only action that should be taken by the nurse.

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A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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A nurse is planning care for a child who has varicella.
Which of the following interventions should the nurse plan to include?