A nurse is planning care for a child who has varicella.
Which of the following interventions should the nurse plan to include?
Initiate airborne precautions.
Provide the child with a warm blanket.
Assess the oral cavity for Koplik spots.
Administer aspirin for fever.
The Correct Answer is A
Choice A rationale:
Varicella (chickenpox) is highly contagious and spreads through the air via respiratory droplets. Initiating airborne precautions, such as wearing masks and isolating the patient in a negative pressure room, helps prevent the spread of the virus to other patients and healthcare workers.
Choice B rationale:
Providing a warm blanket is a comfort measure and does not address the contagious nature of varicella. While keeping the child comfortable is important, preventing the spread of the infection to others is a higher priority.
Choice C rationale:
Koplik spots are small, white spots with blue or red centers that can appear on the oral mucosa in individuals with measles. Varicella does not cause Koplik spots; this finding is specific to measles. Therefore, assessing for Koplik spots is not relevant in the context of varicella.
Choice D rationale:
Administering aspirin to a child with varicella is contraindicated due to the risk of Reye's syndrome, a potentially fatal condition characterized by acute brain and liver damage. Acetaminophen is the preferred antipyretic for managing fever in children with varicella.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
Choice A rationale:
Rotavirus is a common cause of diarrhea in children and is preventable by vaccination. However, it is not specifically indicated for a child with sickle cell anemia.
Choice B rationale:
Pneumococcal conjugate (PCV13) vaccine protects against infections caused by the bacteria Streptococcus pneumoniae, which can lead to severe complications in individuals with sickle cell anemia, including pneumonia and sepsis. Immunization with PCV13 is crucial to prevent these potentially life-threatening infections in individuals with sickle cell anemia.
Choice C rationale:
Measles, mumps, and rubella (MMR) vaccine is essential for preventing these viral infections. However, it is not directly related to the specific health needs of a child with sickle cell anemia.
Choice D rationale:
Respiratory syncytial virus (RSV) is a common respiratory virus that can cause severe respiratory infections in young children, especially those with underlying health conditions like sickle cell anemia. RSV immunization is important to prevent serious respiratory complications in these vulnerable individuals.
Correct Answer is A
Explanation
Choice A rationale:
"The test will measure the amount of chloride in your baby's sweat." Pilocarpine iontophoresis testing is used to diagnose cystic fibrosis by measuring the chloride content in the patient's sweat. Cystic fibrosis patients have elevated chloride levels in their sweat, which is a characteristic feature of the disease. Educating the parents about the purpose of the test helps them understand its significance in diagnosing their baby's condition.
Choice B rationale:
"We will measure the amount of protein in your baby's urine over a 24-hour period." Measuring protein in urine over a 24-hour period is a test for kidney function, not for cystic fibrosis. This statement is unrelated to the pilocarpine iontophoresis testing and may confuse the parents about the purpose of the procedure.
Choice C rationale:
"Your baby will need to fast for 8 hours prior to the test." Fasting is not a requirement for pilocarpine iontophoresis testing. This statement is incorrect and could cause unnecessary stress for the parents and the infant. It is essential to provide accurate information to ensure that the parents are well-prepared for the procedure.
Choice D rationale:
"A nurse will insert an IV prior to the test." Inserting an IV is not a part of the pilocarpine iontophoresis testing procedure. This statement is inaccurate and does not contribute to the parents' understanding of the test. Providing irrelevant information can create confusion and anxiety, which should be avoided during patient education.
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