Chapter 37: Nursing Care of the Child With an Infectious or Communicable Disorder

A nurse is obtaining a history from the parents of a child diagnosed with an infection. The parents report that the child started running a fever a couple of days ago and that he "just didn't seem like himself." Then this morning, the child started having yellow-green discharge from the nose. The nurse would identify the child has just completed which stage of an infectious disease?

Prodrome

While assessing a child brought to the hospital with fever and headache, the nurse notes trismus and swelling above the child's jawline. Which collaborative interventions will the nurse begin? Select all that apply.

* Don a surgical mask. * Administer ibuprofen. * Ask if vaccinations are current.

The nurse is assessing a child with a varicella infection. The nurse would be alert for which possible complication(s)? Select all that apply.

. Secondary bacterial infection . Pneumonia . Scarring . Encephalitis

The nurse is caring for a 7-year-old child in droplet precautions due to the diagnosis of pertussis. While visiting the child, which actions by the parents require the nurse to intervene? Select all that apply.

. The parents state, "We should postpone immunizing our 5-year-old since there has been contact with the infection." . The parents state, "We have been limiting our child's fluids to help decrease the amount of coughing."

The nurse is caring for a 16-year-old child with a diagnosis of acquired immunodeficiency syndrome (AIDS). What treatment goal has the highest priority for this child?

Preventing spread of infection

A 5-year-old girl catches the flu from a friend at day care after the friend sneezed and wiped mucus on a toy that the girl subsequently played with. In this case, what is the portal of exit in the chain of infection?

Upper respiratory excretion