PEDs Chapt 15 Nursing Care of the Child with an Infectious or Communicable Disorder QUESTIONS AND ANSWERS ALL 100% CORRECT
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A young patient arrives at the clinic with a rash on the trunk and flexor surfaces of the extremities. The mother informs the nurse that the rash started a day before on the exterior surfaces of the extremities; 2 days before, the child had a really bad rash on the face. The physician diagnoses the...
peds chapt 15 nursing care of the child with an infectious or communicable disorder
peds chapt 15 nursing care of the child with an infectiou
a young patient arrives at the clinic with a rash on the t
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PEDs Chapt 15 Nursing Care of the Child with an
Infectious or Communicable Disorder QUESTIONS AND
ANSWERS ALL 100% CORRECT
A young patient arrives at the clinic with a rash on the trunk and flexor surfaces of
the extremities. The mother informs the nurse that the rash started a day before on
the exterior surfaces of the extremities; 2 days before, the child had a really bad
rash on the face. The physician diagnoses the child with erythema infectiosum. The
nurse tells the mother that this is also known as which of the following?
a) Pityriasis rosea
b) Fifth disease
c) Enterovirus
d) Rosacea Correct Answer: Fifth disease
Correct
Explanation:
Erythema infectiosum is also known as "fifth disease." It starts with a fever,
headache, and malaise. One week later, a rash appears on the face. A day later, the
rash appears on the extensor surfaces of the extremities. One more day later, the
rash appears on the trunk and flexor surfaces of the extremities.
A child is brought to the emergency department by his parents. The parents report
that he stepped on a rusty nail about a week and a half ago. The child is
complaining of cramping in his jaw and some difficulty swallowing. The nurse
suspects tetanus. When assessing the child, the nurse would be alert to which
muscle groups being affected next?
a) Legs
b) Stomach
c) Neck
d) Arms Correct Answer: Neck
Correct
Explanation:
Tetanus progresses in a descending fashion to other muscle groups, causing spasms
of the neck, arms, legs, and stomach.
The rash in roseola is pruritic. Which of the following measures would you teach
the father to provide comfort?
, a) Discuss with the child the importance of not scratching lesions.
b) Dress the child warmly to bring out the rash so that it fades quickly.
c) Apply cool compresses to the skin to stop local itching.
d) Administer infant aspirin every 4 hours as necessary for comfort. Correct
Answer: Apply cool compresses to the skin to stop local itching.
Explanation:
Cool compresses can minimize pruritus. Aspirin should not be given with
increased temperature (flu-like symptoms).
The appearance of which hallmark clinical manifestation occurs in measles?
a) Koplik spots
b) Fever
c) Cough
d) Conjunctivitis Correct Answer: Koplik spots
Correct
Explanation:
The hallmark of measles is the appearance of Koplik spots. Other typical
symptoms include fever, conjunctivitis, and a cough.
Parents usually ask when their child can return to school after having chickenpox.
The correct answer would be
a) as soon as all lesions are crusted.
b) as soon as the temperature is normal.
c) 10 days after the initial lesions appear.
d) not until all lesions have completely faded. Correct Answer: as soon as all
lesions are crusted.
Correct
Explanation:
Chickenpox lesions are infectious until they crust.
The nurse is teaching a group of middle school students about sexually transmitted
infections (STIs). Which statement by the students indicates a need for additional
teaching about condom use?
a) "Don't store condoms in your wallet."
b) "Put the condom on just before orgasm."
c) "Putting the condom on just before insertion defeats the purpose."
, d) "Latex condoms provide the best protection against STIs." Correct Answer:
"Put the condom on just before orgasm."
Explanation:
Condoms should be placed on the penis before any genital contact occurs. Latex
condoms are best to protect against infection. Condoms should be applied before
any genital contact occurs. Applying them at a later time decreases their
effectiveness. Condoms should be stored in a cool, dry place that is away from
direct sunlight. A wallet is subject to extreme changes in temperature and is an
inappropriate place to store a condom.
Which of the following should be included in the teaching plan for a child with
varicella?
a) Place the child in a warm bath for skin discomfort.
b) Remind the child not to scratch the lesions.
c) Utilize salt solutions to assist in healing oral lesions.
d) Administer aspirin for fever. Correct Answer: Remind the child not to scratch
the lesions.
Correct
Explanation:
The teaching plan for varicella should include that the child not scratch the lesions.
Acetaminophen should be administered for fever, not aspirin, due to the link with
Reye syndrome. The best treatment for skin discomfort is a cool bath with soothing
colloidal oatmeal every 3 to 4 hours for the first few days. The child should avoid
citrus, spicy, or salty foods.
Which of the following is a true statement regarding varicella zoster virus
infection?
a) The incubation period is 7 days.
b) It is transmitted by fecal-oral route.
c) It tends to be more severe in children.
d) A complication of this infection includes secondary bacterial infections of the
skin. Correct Answer: A complication of this infection includes secondary
bacterial infections of the skin.
Correct
Explanation:
Varicella zoster virus infection carries with it the complication of a secondary
bacterial infection of the skin. The incubation period is 10 to 21 days. It is
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