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 C
Explanation
Choice A rationale:
Placing the child on a clear liquid diet for 24 hours following the arterial cardiac catheterization procedure is not necessary. The procedure does not typically require dietary restrictions. However, the healthcare provider may provide specific pre-procedure dietary instructions if needed, but it's not a standard practice.
Choice B rationale:
Instructing the child that they will be on bed rest for 2 days after the procedure is not accurate. While the child may need to rest after the procedure, the duration of bed rest is typically much shorter than 2 days. It's important to provide accurate information to the child to reduce anxiety and promote understanding.
Choice C rationale:
Explaining to the child that they will need to keep their leg straight for 8 hours following the procedure is important and accurate information. Arterial cardiac catheterization often involves the insertion of a catheter through an artery in the leg, and keeping the leg straight helps prevent complications at the insertion site. This information is essential for the child to follow post-procedure instructions correctly.
Choice D rationale:
Telling the child that their dressing will be removed 12 hours after the procedure is not accurate. Dressing removal timing may vary depending on the healthcare provider's protocol, but it's not typically done immediately after the procedure. Providing inaccurate information may lead to confusion and anxiety for the child.
Correct Answer is C
Explanation
Choice A rationale:
The statement in question does identify the variables being investigated. It mentions that the study aims to evaluate whether short-term, cultural immersion, clinical experiences could affect change in cultural sensitivity and cultural self-efficacy. Both cultural sensitivity and cultural self-efficacy are the variables of interest in this research.
Choice B rationale:
While the statement does mention the independent variable (short-term, cultural immersion, clinical experiences), it also includes the dependent variables (cultural sensitivity and cultural self-efficacy) So, the independent variable is indeed identified in the statement.
Choice C rationale:
The missing characteristic in the research statement is the population being studied. It does not specify who the participants or subjects of the study are. The population being studied is a crucial element in a research statement because it helps define the scope and applicability of the research findings.
Choice D rationale:
The statement does imply the possibility of empirical testing by stating that "a study was conducted," indicating that there was likely data collection and analysis involved. Therefore, the possibility of empirical testing is not missing from the statement.
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