The nurse is performing an assessment on a child with varicella and notices the child scratching the lesions. Which nursing intervention will the nurse perform to provide comfort at this time?
Give aspirin or acetaminophen as needed.
Encourage frequent warm bubble baths.
Give a pediatric dose of an antihistamine.
Apply baby lotion over the open lesions.
49. The nurse is performing an assessment on a child with varicella and notices the child scratching the lesions. Which nursing intervention will the nurse perform to provide comfort at this time?
The Correct Answer is C
A. Acetaminophen may help reduce fever or pain but does not relieve itching, which is the immediate source of discomfort. Aspirin should never be given to children with varicella due to the risk of Reye’s syndrome.
B. Warm baths may actually increase itching or open lesions if the skin softens too much; tepid baths with soothing additives (like oatmeal) are safer.
C. A pediatric antihistamine (e.g., diphenhydramine) helps reduce pruritus, preventing scratching and decreasing the risk of secondary bacterial infection.
D. Applying lotion to open lesions can increase the risk of infection. Moisturizers or calamine lotion are appropriate only for intact skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Gloves are required only when direct contact with body fluids is anticipated; they are not necessary for every visitor.
B. Limiting visits to 10 minutes is not an evidence-based requirement; the focus should be on proper precautions, not strict time limits.
C. Restricting visits to family only is not required; anyone may visit as long as they follow infection control precautions.
D. Influenza A is transmitted via respiratory droplets. Visitors and healthcare staff should wear masks when entering the client’s room to reduce the risk of transmission.
Correct Answer is A
Explanation
A. Stopping antibiotics when symptoms disappear is incorrect; clients must complete the entire prescribed course to prevent recurrence and antibiotic resistance. This statement shows a need for further teaching.
B. Resting and gradually resuming activities as tolerated is correct and promotes healing.
C. Applying warm compresses helps increase circulation, reduce discomfort, and promote healing.
D. Contacting the provider for pain not relieved by medication is correct, as it may indicate worsening infection or complications.
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