A nurse is providing care to a parent of a child who has varicella. Which of the following statements should the nurse include in the teaching?
“Your child can return to school after a negative titer result.”
“Your child can return to school once the fever has subsided.”
“Your child can return to school once the lesions have crusted over.”
“Your child can return to school 24 hours after beginning antibiotics.”
The Correct Answer is C
A. A negative titer is used to determine immunity, not the infectious period. It does not indicate when the child is no longer contagious.
B. Fever may subside before the lesions have fully crusted, so relying on fever alone is insufficient to prevent transmission.
C. Varicella (chickenpox) is highly contagious. Children are considered infectious from 1–2 days before the rash appears until all lesions have crusted over. Returning to school before crusting can spread the virus to others.
D. Antibiotics do not treat viral infections like varicella. The child may still be contagious even after starting antibiotics.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Paracentesis is indicated for the removal of ascitic fluid, not for postoperative gas distention. It is inappropriate after a laparoscopic procedure unless ascites or fluid accumulation is confirmed.
B. The prone position can impede ventilation and increase abdominal pressure; it does not help relieve gas distention.
C. While a rectal suppository may aid bowel movement, it is not the first-line intervention for postoperative gas pain or distention.
D. Assisting the client to ambulate promotes the passage of flatus and relieves gas pain resulting from insufflation of carbon dioxide used during laparoscopy. Early ambulation enhances bowel motility and reduces abdominal distention.
Correct Answer is D
Explanation
A. Atomoxetine is a norepinephrine reuptake inhibitor used for attention-deficit/hyperactivity disorder (ADHD), not anxiety or panic attacks. It does not have immediate anxiolytic effects and is not indicated for acute panic management.
B. Watching television is a distraction strategy, but during a panic attack, the client’s anxiety level is too high to focus on such activities. Cognitive interventions are ineffective until acute symptoms subside.
C. Teaching new coping skills like meditation should occur after the panic attack resolves. During a panic attack, the client cannot process new information effectively.
D. The priority is to stay with the client and maintain a calm, reassuring presence. Sitting quietly conveys safety, helps ground the client, and prevents escalation. The nurse should speak calmly, use simple, brief statements, and reduce environmental stimuli. Once the client’s anxiety lessens, teaching relaxation techniques can begin.
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