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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. While it is important to check for skin irritation at the cast edges, this is not the most immediate concern compared to other potential complications. Skin irritation can occur, but it is a less urgent issue compared to signs of more serious problems like impaired circulation or swelling.
B. Itching is a common issue with casts, and using a hair dryer on a cool setting can help relieve this discomfort. However, this is a comfort measure and does not address the more critical aspects of cast care and potential complications.
C. Restricting strenuous activities is important to prevent complications and ensure proper healing, but it is not the most immediate concern following cast application. The timeframe may also need to be

longer than just 3 days, depending on the type of surgery and cast. Specific activity restrictions should be based on the child's condition and the surgeon's recommendations.
D. Monitoring for pallor and swelling is critical because these signs can indicate compromised circulation or other serious complications related to the cast. Swelling and changes in skin color can suggest that the cast is too tight or that there is a problem with blood flow. Immediate attention is needed if these symptoms are observed to prevent further complications.

A. Human papillomavirus B. Inactivated polio virus C. Hepatitis B D. Varicella

Correct Answer is D

Explanation

A. HPV vaccine is typically recommended for adolescents to prevent HPV-related cancers.
B. The IPV series is usually completed by the age of 6-18 months.
C. The Hepatitis B series is typically completed by the age of 6-18 months.
D. The first dose of the varicella (chickenpox) vaccine is typically administered at 12 months of age.

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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

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