A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Administer aspirin for fever.
Provide the child with a warm blanket.
Initiate airborne precautions.
Assess the oral cavity for Koplik spots.
The Correct Answer is C
A. Aspirin should never be given to children with varicella due to the risk of Reye's syndrome, a serious and potentially fatal condition.
B. A warm blanket can increase the child's body temperature and discomfort. Cool compresses or baths are often recommended to relieve itching.
C. Varicella is a highly contagious airborne disease. Isolation precautions, including airborne precautions, are essential to prevent the spread of the virus.
D. Koplik spots are associated with measles, not varicella.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"A"}}
Explanation
Temperature: Fever is a common symptom of both acute laryngotracheobronchitis (croup) and pneumonia.
Stridor: Stridor, a high-pitched, wheezing sound, is a classic sign of croup and upper airway obstruction. It is less common in pneumonia.
Irritability: Both croup and pneumonia can cause discomfort and distress in children, leading to irritability.
Cough: A cough, especially a barking cough, is characteristic of croup.
Correct Answer is C
Explanation
A. This heart rate is within the normal range for a child and does not indicate hemorrhage.
B. Flushing of the face can be caused by various factors and is not a specific sign of hemorrhage.
C. Frequent swallowing after a tonsillectomy can be a sign of post-operative bleeding as the child tries to clear blood from the throat.
D. This blood pressure is within the normal range for a child and does not indicate hemorrhage.
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