What should the parent of a child with chickenpox be advised by a nurse regarding when the child is considered no longer contagious?
The rash must turn into blisters
The child has not had a fever for 24 hours
All the lesions have scabbed over and dried
Wait 24 hours after starting antibiotics
The Correct Answer is C
Rationale:
A. The appearance of blisters indicates an active, contagious stage, not the end of contagion.
B. Absence of fever does not indicate that the virus is no longer contagious.
C. A child with chickenpox is no longer considered contagious once all lesions have crusted over, which typically occurs about 5–7 days after the rash first appears.
D. Chickenpox is a viral infection; antibiotics are not used unless there is a secondary bacterial infection, so this does not apply.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Sunken fontanels may indicate dehydration and are not a normal finding.
B. Soft and flat fontanels are expected in a healthy newborn, indicating normal intracranial pressure and hydration status.
C. Tense and bulging fontanels can be a sign of increased intracranial pressure or infection such as meningitis.
D. Hard and immobile fontanels are abnormal and may suggest underlying pathology such as craniosynostosis.
Correct Answer is C
Explanation
Rationale:
A. Not explaining the purpose of a medication increases anxiety and is not consistent with atraumatic care principles.
B. While using a smaller gauge needle may reduce physical pain, atraumatic care also involves emotional support and empowerment.
C. Allowing the child to choose a favorite toy promotes a sense of control and comfort, reducing anxiety and trauma during procedures—this aligns with the core principles of atraumatic care.
D. Restricting parental visitation can increase stress and separation anxiety, which is the opposite of atraumatic care.
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