The nurse is caring for a school-age child with varicella. What should the nurse observe about the rash that is associated with this infection?

Dark red, macular lesions, and very pruritic

Various stages of lesions present at the same time, appear in successive crops, and very pruritic

Yellowish, scaly patches present on the scalp

A pink maculopapular rash starts at the hairline and spreads down the body

Answer and Explanation

The Correct Answer is D

A. Dark red, macular lesions, and very pruritic:

Varicella lesions are typically pink or red and start as macules (flat, red spots) that develop into papules (raised bumps) and then vesicles (fluid-filled blisters). Dark red macular lesions are not commonly associated with varicella.

B. Various stages of lesions present at the same time, appear in successive crops, and very pruritic:

The presence of various stages of lesions (papules, vesicles, crusts) simultaneously, occurring in successive crops, and being intensely itchy are typical features of varicella.

C. Yellowish, scaly patches present on the scalp:

Yellowish, scaly patches on the scalp are not typical of varicella. This description is more indicative of conditions like seborrheic dermatitis rather than the rash associated with chickenpox.

D. A pink maculopapular rash starts at the hairline and spreads down the body.

Varicella rash usually begins as pink or red spots that develop into small, itchy, fluid-filled blisters (vesicles). These vesicles can then progress to form crusts and scabs. The rash often starts on the face, scalp, or trunk and then spreads to other parts of the body, gradually covering the entire body.

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Correct Answer is ["B","C","D","E"]

Explanation

A. “We will keep our household hot water heater at 130 degrees.”

The recommended setting for a hot water heater is typically 120 degrees Fahrenheit to prevent scalds. Setting it at 130 degrees may still pose a risk of burns to young children.

B. “We will place poisonous substances in a high cupboard.”

Placing poisonous substances out of reach in a high cupboard is a safety measure to prevent children from accessing potentially harmful substances.

C. “We will place a gate at the top and bottom of stairways.”

Using safety gates at the top and bottom of stairways is an effective way to prevent young children from falling down stairs.

D. “We will put plastic fillers in all electrical plugs.”

Placing plastic fillers in electrical plugs helps prevent children from inserting objects into outlets, reducing the risk of electric shock.

E. “We will turn handles of pans on the stove toward the back of the stove.”

Turning handles of pans on the stove toward the back is a safety measure to prevent young children from reaching up and pulling hot items off the stove.

A. Apply warm, moist compresses to the neck area B. Observe for excessive swallowing C. Provide liquid acetaminophen with codeine as ordered. D. Place child in a partially prone position with head turned to one side in the immediate post-operative period. E. Offer orange juice, lemonade, or milk to drink once awake and alert.

Correct Answer is ["B","C","D"]

Explanation

A. Apply warm, moist compresses to the neck area:

Warm, moist compresses are not typically used in the postoperative care of a tonsillectomy. Cold compresses or ice packs may be recommended to reduce swelling.

B. Observe for excessive swallowing:

Excessive swallowing may indicate bleeding, and close monitoring for any signs of bleeding is important.

C. Provide liquid acetaminophen with codeine as ordered:

Pain management is crucial postoperatively, and providing pain medication as ordered helps ensure the child's comfort.

D. Place the child in a partially prone position with the head turned to one side in the immediate post-operative period:

This position helps facilitate drainage and reduce the risk of aspiration. However, the specific positioning may vary based on the surgeon's preference.

E. Offer orange juice, lemonade, or milk to drink once awake and alert:

Citrus juices and milk are usually avoided in the immediate postoperative period to prevent irritation to the surgical site. Clear fluids or those recommended by the healthcare provider are typically introduced gradually.

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The nurse is caring for a school-age child with varicella. What should the nurse observe about the rash that is associated with this infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has completed a teaching session for parents about “baby/child-proofing” the home. Which statements made by the parents indicate an understanding of the teaching (Select All That Apply)?

Correct Answer is ["B","C","D","E"]

Explanation

Nursing care of the child who is postoperative from a tonsillectomy should include: (Select All That Apply)?

Correct Answer is ["B","C","D"]

Explanation

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