The nurse is educating parents of a child admitted to the hospital with rubella (German measles). Which statement by the parents indicates the further education is needed?
"Family members should wear a mask when coming to visit us."
"Acetaminophen or ibuprofen can be given to help with pain."
"Antibiotics are needed to help our child recover from rubella."
"Our child is contagious for 1 week after the rash appeared."
The Correct Answer is C
A. Wearing a mask helps prevent the spread of rubella, which is transmitted via respiratory droplets.
B. Acetaminophen or ibuprofen can be used to manage fever and discomfort associated with rubella.
C. Rubella is a viral infection, so antibiotics are not effective and are not indicated for treatment. This statement reflects a misunderstanding, indicating a need for further education.
D. The child is contagious from about 7 days before to 7 days after the onset of the rash, so this statement is accurate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Infectious mononucleosis typically presents with fever, sore throat, and lymphadenopathy, but does not usually cause parotid swelling or testicular pain.
B. Herpes zoster (shingles) causes a painful vesicular rash along a dermatome and is rare in adolescents; it does not cause parotitis or orchitis.
C. Poliomyelitis can cause fever, malaise, and in severe cases, paralysis, but it does not present with parotid swelling or testicular pain.
D. Mumps is a viral infection characterized by fever, headache, malaise, and parotid gland swelling, often accompanied by painful chewing. In post-pubertal males, orchitis (testicular pain and swelling) is a common complication, making this the most consistent diagnosis.
Correct Answer is B
Explanation
A. 3+ proteinuria is consistent with preeclampsia, reflecting renal involvement due to endothelial damage.
B. Deep tendon reflexes of +1 are considered hyporeflexia and are not typical of preeclampsia. Preeclampsia is usually associated with hyperreflexia (+3 to +4) due to increased central nervous system irritability. This finding is inconsistent with the diagnosis.
C. 1+ pitting edema is common in preeclampsia, though edema alone is not diagnostic.
D. Elevated blood pressure (≥140/90 mm Hg) is a key diagnostic criterion for preeclampsia and aligns with the condition.
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