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.
Administer aspirin for fever.
Initiate airborne precautions.
The Correct Answer is D
A. Providing a warm blanket can help alleviate discomfort associated with fever and chills, which are common symptoms of varicella.
B. Koplik spots are seen in measles, not varicella.
C. Aspirin administration is contraindicated in varicella due to the risk of Reye's syndrome. Acetaminophen or ibuprofen may be used for fever.
D. Varicella is spread through respiratory droplets, so standard precautions are typically sufficient. Airborne precautions are necessary to prevent transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Encouraging flexion and extension of the neck is contraindicated in a client with a halo vest to prevent further injury to the cervical spine.
B. Repositioning the client using a turning sheet helps to maintain proper alignment and prevent complications such as pressure ulcers.
C. Assessing the pin sites for infection should be done daily, not once every other day, to monitor for signs of infection.
D. Tightening the screws on the halo device should be done as prescribed by the healthcare provider and typically does not occur every 48 hours.
Correct Answer is C
Explanation
A. Low hemoglobin indicates anemia, which is a common side effect of leukemia and its treatment, so it does not necessarily indicate treatment effectiveness.
B. Platelet count within normal range is a positive sign, but it does not directly indicate the effectiveness of treatment for leukemia.
C. Normalization of the RBC count indicates bone marrow recovery, suggesting treatment effectiveness in acute lymphoblastic leukemia.
D. Elevated WBC count is expected in leukemia and may not necessarily indicate treatment effectiveness.
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