A young client in the clinic has a rash, cough, coryza, and fever that the parent says spiked on day 5 of the rash. The client also had conjunctivitis. What illness would the nurse expect the health care provider to diagnose?
Chickenpox
Scarlet fever
Measles
Rubella
The Correct Answer is C
A. Chickenpox typically presents with an itchy vesicular rash in different stages of development, usually starting on the trunk and face, but it is not usually associated with cough, coryza, or conjunctivitis.
B. Scarlet fever presents with a fine, sandpaper-like rash, fever, and sore throat but lacks the combination of cough, coryza, and conjunctivitis.
C. Measles (rubeola) is characterized by the “three Cs”: cough, coryza (runny nose), and conjunctivitis, followed by a maculopapular rash. Fever often spikes around day 3–5 of the rash. Koplik spots on the buccal mucosa are also a distinguishing feature.
D. Rubella generally causes a mild rash and low-grade fever; it rarely produces the pronounced cough, coryza, or conjunctivitis seen in measles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Flame-retardant sleepwear reduces the risk of clothing catching fire and is recommended for toddlers.
B. This indicates a need for further teaching. The recommended water heater temperature for homes with young children is 120 degrees Fahrenheit or lower. Temperatures above 120°F can cause serious burns in toddlers within seconds.
C. Keeping pot handles turned inward prevents toddlers from grabbing or knocking hot pots, reducing the risk of scald burns.
D. Toddlers should never handle fireworks because they pose a high risk of burns and injuries. Watching professional displays is the safest option.
Correct Answer is C
Explanation
A. Squeezing the stinger can force additional venom from the venom sac into the skin, increasing pain, swelling, and the risk of a more severe local or systemic reaction.
B. Washing the area with soap and water is important to reduce the risk of infection, but applying heat to “help the stinger move out” is not effective and could irritate the skin.
C. The recommended method is to carefully scrape the stinger out horizontally with a flat object, such as a credit card or fingernail. This removes the stinger quickly while minimizing additional venom injection and tissue trauma.
D. Leaving the stinger in place allows continued venom release, which can prolong swelling, redness, pain, and increase the risk of systemic reactions, particularly in children sensitive to bee venom.
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