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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. During a 24-hour urine collection, all urine produced over the 24-hour period should be collected in a single container. The final specimen (the last urine voided at the end of the 24 hours) should be added to the same container as the rest of the collected urine, not saved separately.
B. For a 24-hour urine collection, there is no need to cleanse the perineum with a povidone-iodine solution before each collection. The focus should be on collecting all urine over the 24-hour period in the designated container. However, proper hygiene practices are important to avoid contamination.
C. The 24-hour urine collection starts after the first void of the day, which should be discarded. The collection begins with the second void and continues until the same time the next day, including the final void. Discarding the first void is essential to ensure that the collection accurately reflects the urine produced over a full 24-hour period.
D. During a 24-hour urine collection, the client should void as needed but collect all urine produced over the 24 hours in the designated container. There is no requirement to void every hour; the key is to ensure that every drop of urine is collected and included in the total 24-hour collection period.
Correct Answer is D,B,C,A
Explanation
D. Before using the inhaler, the child should exhale fully to empty the lungs and ensure that the medication can be effectively inhaled. This step prepares the airways to receive the medication.
B. As the child starts to inhale slowly and deeply through the mouthpiece, they should simultaneously depress the canister to release the medication. This coordinated action ensures that the medication is delivered into the lungs.
C. After inhaling the medication, the child should hold their breath for about 10 seconds (or as long as comfortable). This allows the medication to settle in the airways and improves its effectiveness.
A. After holding the breath, the child can remove the inhaler from their mouth. This step concludes the inhalation process and allows the child to exhale normally.
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