A nurse is providing teaching to the parents of a child who has varicella about management of the disease.
Which of the following instructions should the nurse include in the teaching?
Keep the child away from others until the skin is clear of scabs
Dress the child in warm clothing to promote healing of vesicles
Apply calamine lotion to vesicles on the child’s skin
Avoid giving the child a bath while vesicles are prese .
Correct Answer : A,C
he correct answer is Choice A, Choice C.
Choice A rationale: Keeping the child away from others until all vesicles have crusted over is essential to prevent the spread of varicella. The child is no longer contagious once the vesicles have crusted, reducing the risk of transmission.
Choice B rationale: Dressing the child in warm clothing is not recommended as it can cause discomfort and aggravate itching. Loose, comfortable clothing should be used to prevent irritation of vesicles and promote healing.
Choice C rationale: Applying calamine lotion to vesicles on the child’s skin can soothe itching and provide relief. It is a safe and effective topical treatment to manage symptoms associated with varicella, ensuring the child remains comfortable.
Choice D rationale: Bathing the child is recommended to maintain hygiene and prevent secondary infections. Using mild soap and lukewarm water can help keep the skin clean and reduce itching, contrary to avoiding baths.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
During early adolescence, children often experience mood swings. This is due to the hormonal changes that occur during this stage of development.
Correct Answer is D
Explanation
The correct answer is D. Have the child flex his head when securing the ties.
Explanation:
When securing tracheostomy ties, flexing the head helps ensure the ties are snug but not too tight. This minimizes the risk of accidental dislodgement while allowing proper airway support.
Why the other options are incorrect:
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A. Use clean technique to change the tracheostomy tube – Incorrect. Sterile technique is required when changing the tracheostomy tube to prevent infection, especially in pediatric clients.
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B. Clean around the stoma with full-strength hydrogen peroxide – Incorrect. Diluted hydrogen peroxide or saline is recommended to avoid tissue irritation. Full-strength hydrogen peroxide can damage delicate skin around the stoma.
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C. Place the child in Trendelenburg position when performing care – Incorrect. The Trendelenburg position (head down, feet up) is not used for tracheostomy care and can increase the risk of aspiration or breathing difficulties.
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