A nurse is providing teaching 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 once the lesions have crusted over."

"Your child can return to school once the fever has subsided."

"Your child can return to school 24 hours after beginning antibiotics."

"Your child can return to school after a negative titer result."

Answer and Explanation

The Correct Answer is A

A: Varicella (chickenpox) is contagious until all lesions have crusted over. The crusting of the lesions indicates that the virus is no longer active and transmissible.
B: Although a decrease in fever suggests improvement, it does not signify that the child is no longer contagious. Children with varicella are still contagious until all blisters have crusted over.
C: Antibiotics are not effective against viral infections like varicella. Therefore, this statement is inaccurate as it implies antibiotics are part of the treatment for varicella.
D: Varicella is diagnosed clinically and through symptoms rather than titer results. Titer testing is not a standard criterion for determining when a child can return to school.

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Correct Answer is C

Explanation

A. Flushing the tube with water after feedings helps to prevent tube clogging and ensures adequate delivery of enteral feedings. However, it does not address the diarrhea.
B. While it's important to discard open cans of formula within a specified timeframe to prevent bacterial growth, diarrhea in the client is not directly addressed by discarding formula after 36 hours.
C. The nurse should consider administering feedings at a slower rate to manage diarrhea. This approach can help reduce the incidence of diarrhea as it allows for better absorption of the nutrients.
D. Providing chilled formula is not typically indicated for clients with diarrhea and may not be well-tolerated.

A. BP 150/92 mm Hg B. Flushed face C. Pulse rate 100/min D. Negative clonus

Correct Answer is D

Explanation

A. A blood pressure reading of 150/92 mm Hg is indicative of hypertension, a symptom of preeclampsia, but it is not a therapeutic effect of magnesium sulfate.
B. A flushed face is not a therapeutic effect of magnesium sulfate and may indicate adverse effects such as magnesium toxicity.
C. A pulse rate of 100/min is within the normal range and is not a specific therapeutic effect of magnesium sulfate.
D. Negative clonus, assessed by dorsiflexing the client's foot and observing for absence of rhythmic oscillations or beats, indicates a therapeutic level of muscle relaxation provided by magnesium sulfate to prevent seizures in clients with preeclampsia

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A nurse is providing teaching to a parent of a child who has varicella. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diarrhea and is receiving intermittent enteral feedings. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV Infusion. For which of the following therapeutic effects should the nurse monitor the client?

Correct Answer is D

Explanation

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