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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Related Questions
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.
Correct Answer is D
Explanation
A. This statement is appropriate for a 3-year-old. It uses simple language to explain the injection in a way that minimizes fear. Describing the injection as a "little stick" helps to convey that the sensation will be brief and not too painful, which can help reduce anxiety about the procedure.
B. This statement is not advisable because it can place undue pressure on the child to avoid expressing their feelings of discomfort. Additionally, it can create a sense of conditional reward rather than focusing on the purpose of the injection and making the experience more positive.
C. While this statement is well-intentioned, it might be too vague for a 3-year-old. Children at this age may not fully understand the concept of "feeling better" or the purpose of the medication. It is better to use simple and specific language that relates directly to the procedure rather than the outcome.
D. This statement is not appropriate because it offers a choice that is not feasible or relevant to the
child’s immediate situation. For a 3-year-old, the decision about which leg to use is typically made by the healthcare provider based on clinical considerations.
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