A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Provide the child with a warm blanket.
Assess the oral cavity for Koplik spots.
Administer aspirin for fever.
Initiate airborne precautions.
The Correct Answer is D
Rationale:
A. Providing the child with a warm blanket can help keep the child comfortable during the course of the illness but initiating airborne precautions is best intervention required.
B. Assessing the oral cavity for Koplik spots is not relevant for varicella, as Koplik spots are associated with measles.
C. Administering aspirin for fever is contraindicated in children with varicella due to the risk of Reye's syndrome.
D. The nurse should initiate airborne precautions, which include placing the child in a private room with negative air pressure, wearing a mask or respirator when entering the room, and limiting visitors and staff exposure. Airborne precautions prevent the transmission of varicella through small droplets that can remain suspended in the air for long periods of time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Maintaining extended eye contact may be challenging for children with autism spectrum disorder, as they may have difficulty with social interaction and communication.
B. Establishing a reward system is beneficial for children with autism spectrum disorder as it provides positive reinforcement for desired behaviors, helping to encourage and maintain them.
C. Engaging in cooperative play might be difficult for a child with autism spectrum disorder due to challenges in social interaction and communication.
Correct Answer is C
Explanation
A. A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis.
B. Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness.
C. Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness.
D. Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.
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