(Select all that apply): A nurse is providing care to a client with measles. What are the appropriate nursing interventions to manage this client? Select all that apply:

Administer antiviral medications.

Isolate the client in a private room with negative pressure ventilation.

Wear an N95 respirator mask when entering the client's room.

Monitor vital signs, especially temperature, pulse, and oxygen saturation.

Provide oral care to the client with Koplik spots or oral ulcers.

Answer and Explanation

Correct Answer : C,D,E

Choice A rationale:

Antiviral medications are not typically used to treat uncomplicated cases of measles. Supportive care is the mainstay of treatment.

Choice B rationale:

Isolating the client in a private room with negative pressure ventilation is appropriate to prevent the spread of airborne infections like tuberculosis but is not a standard precaution for measles.

Choice C rationale:

Wearing an N95 respirator mask when entering the client's room is essential because measles is highly contagious and transmitted through the respiratory route.

Choice D rationale:

Monitoring vital signs, especially temperature, pulse, and oxygen saturation, is crucial to assess for any signs of complications and to monitor the client's overall condition.

Choice E rationale:

Providing oral care to the client with Koplik spots or oral ulcers is essential for maintaining oral hygiene and preventing secondary infections.

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Correct Answer is C

Explanation

Choice A rationale:

Nucleoprotein (N) and phosphoprotein (P) are not responsible for viral entry and fusion in measles infection. These proteins are involved in viral replication and assembly, not the initial entry into host cells.

Choice B rationale:

Matrix protein (M) and large protein (L) are not responsible for viral entry and fusion in measles infection. The matrix protein plays a role in the assembly and structure of the virus, while the large protein is involved in viral replication and transcription.

Choice C rationale:

Fusion protein (F) and hemagglutinin protein (H) are the primary proteins responsible for viral entry and fusion in measles infection. The hemagglutinin protein allows the virus to bind to specific receptors on host cells, while the fusion protein facilitates the fusion of the viral envelope with the host cell membrane, allowing the virus to enter the cell.

Choice D rationale:

Nucleoprotein (N) and matrix protein (M) are not directly involved in viral entry and fusion. Nucleoprotein plays a role in protecting the viral RNA, and the matrix protein is involved in viral assembly and budding.

A. The client is contagious from the onset of the rash until two days afterward. B. The client is contagious for about a week after the rash appears. C. The client is only contagious before the appearance of the rash. D. The client is no longer contagious after the fever subsides.

Correct Answer is B

Explanation

Choice B rationale:

The nurse accurately informs the client that they are contagious for about a week after the rash appears. The period of contagiousness starts a few days before the rash appears and continues until approximately 4 days after the rash has emerged. Measles is highly contagious, and transmission occurs through respiratory droplets from coughing or sneezing.

Choice A rationale:

This statement is incorrect. The client is contagious a few days before the rash appears and not only from the onset of the rash until two days afterward.

Choice C rationale:

This statement is incorrect. The client is contagious during the prodrome stage, which is before the appearance of the rash, as well as during the exanthematous stage when the rash is present.

Choice D rationale:

This statement is incorrect. The fever subsides during the prodrome stage, but the client remains contagious during the early part of the exanthematous stage when the rash is present.

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(Select all that apply): A nurse is providing care to a client with measles. What are the appropriate nursing interventions to manage this client? Select all that apply:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What are the primary proteins responsible for viral entry and fusion in measles infection?

Correct Answer is C

Explanation

A client is concerned about the contagiousness of measles. What information provided by the nurse is accurate regarding the period of contagiousness?

Correct Answer is B

Explanation

Which of the following is a characteristic clinical stage of measles infection?

A nurse is caring for a child with measles and anticipates administering which supplement?

A client asks the nurse about the preventive measures for measles. Which intervention should the nurse recommend for measles prevention?

(Select all that apply): A nurse is providing information about the clinical stages of measles infection. Which of the following are characteristic of the prodrome stage?

A nurse is assessing a child with suspected measles. Which statement made by the child's parent indicates an understanding of the characteristic rash?

Which of the following are symptoms commonly seen during the prodrome stage of measles?

(Select all that apply): A nurse is providing care to a client with measles. What are the appropriate nursing interventions to manage this client? Select all that apply:

A nurse is caring for a child with suspected measles. Which diagnostic test should the nurse expect to be performed to confirm the diagnosis?