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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. The FLACC (Faces, Legs, Activity, Cry, Consolability) pain scale is ideal for assessing pain in toddlers, especially those who are cognitively impaired. It relies on observable behaviors rather than self-report.
B. A visual analog scale requires the patient to rate pain on a linear scale, which is not suitable for a toddler, especially one who is cognitively impaired.
C. While the FACES pain scale is useful for older children who can understand facial expressions, it is not appropriate for toddlers, especially those with cognitive impairments.
D. The CRIES pain scale is primarily used for neonates, not toddlers.

A. A toddler who has an apical pulse of 100/min B. A toddler who has a potassium level of 4.0 mEq/L (3.4 to 4.7 mEq/L) C. A toddler who has a digoxin level of 1.2 ng/mL (0.8 to 2 ng/mL) D. A toddler who has vomited 2 times in the last hour

Correct Answer is D

Explanation

A. A normal apical pulse for a toddler is around 90-140 beats per minute. This toddler's heart rate is within normal range.
B. This toddler's potassium level is within the normal range.
C. This toddler's digoxin level is within the therapeutic range.
D. Vomiting can be a sign of digoxin toxicity. Digoxin has a narrow therapeutic index, meaning that even small increases in the drug level can lead to toxicity.

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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 non- pharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?

Correct Answer is A

Explanation

A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?

Correct Answer is D

Explanation

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