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 C
Explanation
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.
Correct Answer is C
Explanation
A. A family history of syncope is not a risk factor for acute glomerulonephritis.
B. Sexual activity is not a common contributing factor to glomerulonephritis.
C. Acute glomerulonephritis often develops 1–2 weeks after a streptococcal infection such as strep throat or impetigo. Asking about recent illness helps determine if a prior infection contributed to the condition.
D. Low blood pressure is not typically associated with glomerulonephritis; in fact, hypertension is more common due to fluid retention.
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