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

Provide the child with a warm blanket.

Assess the oral cavity for Koplik spots.

Initiate airborne precautions.

Administer aspirin for fever.

Answer and Explanation

The Correct Answer is C

A. A warm blanket is not a recommended intervention for varicella and does not address the need for infection control.

B. Koplik spots are associated with measles, not varicella.

C. Varicella requires airborne precautions because the virus can be transmitted through respiratory droplets and aerosols.

D. Aspirin should be avoided in children due to the risk of Reye's syndrome, especially with viral infections like varicella.

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Correct Answer is C

Explanation

A. Cleansing the perineum with povidone-iodine is not necessary for a routine urine collection. It might be required for specific procedures but not for a 24-hour collection.

B. The final specimen should be included in the 24-hour urine collection, not saved separately.

C. The first voided specimen should be discarded at the start of a 24-hour urine collection to ensure that the urine collection represents the entire 24-hour period.

D. Voiding every hour is not required. The key is to collect urine over the entire 24-hour period.

A. Administer water-miscible vitamins A, D, E, and K. B. Perform airway clearance therapy prior to bronchodilator medications. C. Encourage intake of a high-calorie, high-protein diet. D. Use the airway clearance therapy device every 2 hr while awake.

Correct Answer is B

Explanation

A. Water-miscible vitamins A, D, E, and K are appropriate for a child with cystic fibrosis, as they are fat-soluble vitamins that the child may not absorb well.

B. Airway clearance therapy should be performed after bronchodilator medications, not before. Bronchodilators help open the airways, which enhances the effectiveness of airway clearance therapy.

C. A high-calorie, high-protein diet is recommended for children with cystic fibrosis due to increased energy needs.

D. Using airway clearance therapy every 2 hours while awake is appropriate and ensures optimal lung function.

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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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