The pediatric nurse is meeting with a group of preschoolers family members to discuss various health topics. The nurse determines the sexual development session is successful after overhearing which comment by one of the participants?

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.

A. The nurse applies elbow restraints to the infant:

The use of elbow restraints is not a standard intervention for impetigo. Restraints are typically used for specific medical reasons, such as preventing the infant from interfering with medical equipment or procedures. It is not the highest priority in managing impetigo.

B. The nurse soaks the skin with warm water:

Soaking the skin with warm water can help in keeping the affected areas clean and promoting healing, but it is not the highest priority when considering the prevention of the spread of impetigo.

C. The nurse follows contact precautions:

Following contact precautions is the highest priority when dealing with impetigo. Since impetigo is highly contagious, implementing contact precautions, such as wearing appropriate PPE, is crucial to prevent the spread of the infection within the hospital setting.

D. The nurse applies topical antibiotics to the lesions:

Applying topical antibiotics is an important part of the treatment for impetigo. It helps to eliminate the bacterial infection and promote healing. However, while important, it is not the highest priority compared to preventing the spread of the infection through contact precautions.