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. 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.

A. Inspect the epiglottis. B. Obtain a throat culture. C. Monitor oxygen saturation. D. Begin droplet precautions. E. Initiate IV access.

Correct Answer is ["C","D","E"]

Explanation

A. Inspecting the epiglottis is contraindicated in suspected cases of epiglottitis as it may trigger laryngospasm and compromise the airway.
B. Obtaining a throat culture may be indicated to confirm the presence of Haemophilus influenzae type B but is not an immediate priority in the management of epiglottitis.
C. Monitoring oxygen saturation is crucial as respiratory distress and hypoxia are common complications of epiglottitis.
D. Beginning droplet precautions is important to prevent the spread of the infectious agent to others.
E. Initiating IV access is necessary for administering fluids and medications, as well as for potential airway management in severe cases of epiglottitis.

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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 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

A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

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