Chapter 37 PrepU Questions

exanthem subitum

A child has been brought to the pediatric clinic. The assessment reveals the child has a temperature of 100.9°F (38.3°C), as well as a rash that is pink and has raised areas. When the area is palpated, the skin blanches. Which disease is most associated with these findings?

"My child can play outside bare footed when treatment is done."

A child has been diagnosed with hookworm. The nurse is teaching the parent about the treatment for the condition. Which statement made by the parent confirms that further education is needed?

Mumps

A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse finds a swollen parotid gland. The nurse suspects which infectious disease?

Neck

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?

penicillin V

A child is diagnosed with scarlet fever. History reveals that the child has no known drug allergies. When preparing the child's plan of care, the nurse would anticipate administering which agent as the drug of choice?

absence of rash

A nurse is assessing a child with a tick-borne disease. What finding would indicate to the nurse that the child has developed ehrlichiosis and not Rocky Mountain spotted fever?

Lyme disease Rocky Mountain spotted fever

A nurse is preparing a presentation for parents about common childhood infectious diseases. What conditions would the nurse include as being caused by a tick bite? Select all that apply.

Red, strawberry tongue

A nurse practitioner suspects that a child has scarlet fever based on which assessment finding?

Contact precautions

A nursing instructor is teaching the students about the standard and transmission-based precautions. What type of precautions require placing a client in an isolated room with limited access, wearing gloves during contact with the client and all body fluids or contaminated items, wearing two layers of protective clothing, and avoiding sharing equipment between clients?

fifth disease.

A young client arrives at the clinic with a rash on the trunk and flexor surfaces of the extremities. The parent 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 health care provider diagnoses the child with erythema infectiosum. The nurse tells the parent that this is also known as:

Incubation period

Nursing students are learning about the infectious process. They correctly identify the first stage of an infectious disease to be which period?

a child with erythema infectiosum experiencing fatigue and confusion

The nurse is caring for multiple clients on the pediatric unit. Which child will the nurse see first?

"Fevers can be beneficial because they can slow down the growth of the bacteria or virus that may be causing the infection."

The nurse is discussing fever with the parents of a child who is in the emergency department with a temperature of 101°F (38.3°C). Which statement by a parent indicates an understanding of fevers and their management in the ill child?

small elevation of epidermis filled with a viscous fluid

The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which skin condition best describes pustule?

after 9 days from the onset of swelling

The parent of a child with mumps calls the clinic to find out how long the child needs to stay home from school. The nurse would instruct the parent to allow the child to return to school at which time?

Apply cool compresses to the skin to stop local itching.

The rash in roseola is pruritic. Which measure would you teach the parent to provide comfort?

Obtain blood cultures.

The student nurse is discussing the plan of care for a child admitted to the hospital for treatment of an infection. Which action should be taken first?

Remind the child not to scratch the lesions.

What information should be included in the teaching plan for a child with varicella?

The incubation period is 10 to 12 days.

What is a true statement regarding measles?

Group B streptococcus

What is the leading cause of neonatal sepsis and death?

"Herpes zoster is a reactivation of a previous varicella zoster infection."

When providing care for a child with herpes zoster (shingles), the parents ask the nurse how the child contracted this infectious disorder. Which response by the nurse is most appropriate?

an 8-month-old bottle-fed female with HIV

Which child will the nurse identify as at greatest risk for developing a urinary tract infection?

Upper respiratory excretion

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?

Contacting the health care provider if there is any area of inflammation that might be a bite. Inspecting the skin closely for ticks after the child plays in wooded areas. Wearing protective clothing when playing in wooded areas.

Parents bring their 9-year-old child to the clinic for a well-child visit. They are concerned because several children in the neighborhood have developed Lyme disease and ask for suggestions on what to do to reduce their child's risk. What would be appropriate for the nurse to suggest? Select all that apply.

Puncturing a vein on the dorsal side of the hand.

The nurse at an outpatient facility is obtaining a blood specimen from a 9-year-old girl. Which technique would most likely be used?

This disease can reactivate years later and cause shingles.

The nurse is administering a chickenpox vaccination to a 12-month-old girl. Which concern is unique to varicella?