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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Visual analog scales may not be appropriate for toddlers who are cognitively impaired and unable to understand abstract concepts.
B. FACES pain scale relies on the child's ability to express emotions through facial expressions, which may be limited in cognitively impaired toddlers.
C. FLACC (Face, Legs, Activity, Cry, Consolability) pain scale is a validated tool for assessing pain in young children, including those who are cognitively impaired.
D. CRIES pain scale is typically used for neonates and infants up to 6 months of age and may not be suitable for toddlers.

A. Check the newborn's eyes every 8 hr. B. Place mittens on the newborn's hands. C. Monitor the newborn's temperature every 2 hr. D. Apply lotion to the newborn's skin.

Correct Answer is C

Explanation

A. Checking the newborn's eyes every 8 hours is not directly related to the management of hyperbilirubinemia or phototherapy.
B. Placing mittens on the newborn's hands is not necessary for the management of hyperbilirubinemia or phototherapy.
C. Monitoring the newborn's temperature every 2 hours is important during phototherapy to prevent complications such as hypothermia or hyperthermia.
D. Applying lotion to the newborn's skin is not directly related to the management of hyperbilirubinemia or phototherapy.

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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

A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?

Correct Answer is C

Explanation

A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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