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 D
Explanation
A. Requesting assistance from the anesthesiologist may not directly address the guardian's misunderstanding about the procedure and may not be necessary unless there are specific anesthesia-related concerns.
B. While this option suggests a proactive approach by the nurse, it may not be appropriate unless the nurse is sufficiently knowledgeable about the specifics of the cardiac catheterization and has been delegated this task by the healthcare team. Typically, the primary responsibility lies with the healthcare provider performing the procedure.
C. Witnessing the adolescent's signature on the informed consent form is an important step in the consent process but does not directly address the guardian's misunderstanding about the procedure.
D. This action is appropriate because the provider has the knowledge and responsibility to explain why the cardiac catheterization is necessary, the benefits it offers, and any risks associated with the procedure. It ensures that the guardian receives accurate and detailed information directly from the expert who will be performing the procedure, facilitating an informed decision.
Correct Answer is C
Explanation
A. Amphotericin B is an antifungal medication and is not indicated for impetigo, which is a bacterial skin infection.
B. Lidocaine ointment is a local anesthetic and is not indicated for the treatment of impetigo.
C. Impetigo is highly contagious, and contact isolation precautions should be initiated to prevent its spread within the hospital setting.
D. Reporting the disease to the state health department may be necessary for surveillance purposes, but the immediate priority is to implement infection control measures.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today