Which of the following is a priority intervention to provide comfort for the child with pruritus associated with varicella zoster virus?
Apply a thick coat of calamine lotion over open lesions.
Give diphenhydramine by mouth.
Apply a cool cloth to the rash.
Give ibuprofen or acetaminophen.
The Correct Answer is C
A. While calamine lotion can be soothing and help alleviate itching, applying a thick coat over open lesions is not advisable. It may not allow the skin to breathe and can potentially lead to further irritation or infection. Therefore, while this option has some merit, it is not the priority intervention.
B. Diphenhydramine (Benadryl) is an antihistamine that can help relieve itching. This option can be beneficial for managing pruritus and may help the child sleep better. However, while it can be useful, there are other interventions that can provide immediate comfort more effectively.
C. Applying a cool cloth to the rash is an immediate and effective way to provide comfort and relieve itching. The coolness can soothe inflamed skin and reduce the urge to scratch, which helps prevent secondary infections.
D. While giving ibuprofen or acetaminophen can help reduce fever and discomfort associated with varicella, it does not specifically address pruritus. These medications are helpful for pain management but are not the best choice for alleviating itching directly.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While allergies can impact a patient's overall health, they are not directly related to the development of peptic ulcer disease. Allergies do not contribute to the mechanisms that cause ulcers, such as increased stomach acid or mucosal damage.
B. Poor oral hygiene can lead to dental problems and infections, but it is not a recognized risk factor for peptic ulcer disease. The main causes of peptic ulcers are related to factors that affect the stomach lining, such as certain medications, lifestyle choices, and infections.
C. While diet can influence gastrointestinal health, sugary foods are not a primary risk factor for peptic ulcers. The role of sugar in ulcer development is not well established compared to other factors, such as the use of certain medications or the presence of H. pylori infection.
D. This statement is correct and is a significant risk factor for developing peptic ulcer disease. NSAIDs can cause irritation of the stomach lining and inhibit the production of protective mucus, leading to ulcer formation. Chronic use of NSAIDs is one of the most common causes of peptic ulcers.
Correct Answer is C
Explanation
A. Herpes simplex virus (HSV) is not directly linked to an increased risk of esophageal cancer. While it can cause infections in the esophagus, especially in immunocompromised individuals, it is not recognized as a significant risk factor for esophageal cancer itself.
B. While some individuals may experience discomfort from spicy foods, there is no substantial evidence linking the consumption of spicy foods directly to the development of esophageal cancer. Dietary factors are more complex, and spicy foods are not typically identified as a primary risk factor.
C. Gastroesophageal reflux disease (GERD) is a significant risk factor for esophageal cancer, particularly adenocarcinoma. Chronic reflux can lead to changes in the esophageal lining (Barrett's esophagus), which is a precancerous condition. Therefore, this is a well-established risk factor.
D. The use of non-steroidal anti-inflammatory drugs (NSAIDs) is not considered a direct risk factor for esophageal cancer. In some contexts, NSAIDs may even have a protective effect against certain types of cancer due to their anti-inflammatory properties. However, chronic use can lead to gastrointestinal complications, including ulcers, but does not have a clear link to the development of esophageal cancer.
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