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
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Polyuria, or excessive urination, is not a typical symptom of acute acetylsalicylic acid poisoning.
Choice B rationale
Neck vein distension is not a typical symptom of acute acetylsalicylic acid poisoning.
Choice C rationale
Jaundice, or yellowing of the skin and eyes, is not a typical symptom of acute acetylsalicylic acid poisoning.
Choice D rationale
Hyperpyrexia, or extremely high fever, can be a symptom of severe acute acetylsalicylic acid poisoning.
Correct Answer is C
Explanation
Choice A rationale
While it’s important for a child to have adequate sleep, waiting until the child indicates that they are tired before putting them to bed may not be the best approach. Children often do not recognize their own signs of fatigue and may become overtired, which can actually make it more difficult for them to fall asleep and stay asleep.
Choice B rationale
Allowing a child to watch an animated movie before bedtime may seem like a harmless routine, but it can actually interfere with their sleep. The light from the screen can suppress the production of melatonin, the hormone that regulates sleep, and the content of the movie can be stimulating rather than relaxing.
Choice C rationale
Waking your child up during a night terror can be beneficial. Night terrors occur during the deepest stages of sleep and can be frightening for both the child and the parents. By gently waking your child before the usual time of a night terror, you can interrupt the sleep cycle and potentially prevent the night terror from occurring.
Choice D rationale
While it may be tempting to allow your child to sleep in your bed, especially if they are experiencing night terrors, this is not typically recommended. Co-sleeping can create a dependency and make it more difficult for the child to learn to self-soothe and fall asleep independently.
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