Chapter 43 questions

Parents of a child who has been diagnosed with tinea capitis ask how the child got the infection. Which of the following would the nurse explain as the most likely cause? A. using a friend's comb B. puncture wound with a rusty object C. not properly washing hands D. bite of a tick

A. using a friend's comb

A child is brought to the clinic with fever, cough, and coryza. The nurse inspects the child's mouth and observes what look like tiny grains of white sand with red rings. How would the nurse document these findings? A. Lymphadenopathy B. Koplik spots C. Slapped cheek appearance D. Nits

B. Koplik spots

An 11-year-old girl arrives at the doctor's office with fever, a sore throat, chills, and malaise. A throat culture indicates scarlet fever. Which other symptom should the nurse notice in this client that clearly indicates scarlet fever? A. Vesicles that become purulent, ooze, and form honey-colored crusts B. The tongue has a white or red "strawberry" appearance C. Fever blisters on the lips D. There is pain along the jawline just in front of the ear lobe

B. The tongue has a white or red "strawberry" appearance

The nurse caring for children with fungal infections most often administers which medication? A. acetaminophen B. griseofulvin C. benadryl D. prednisone

B. griseofulvin

A high school football player comes to the clinic with malaise, fever, headache, and anorexia that have been present for the last few days. Upon physical examination, the nurse notes that the cervical lymph nodes are firm and tender. Tonsils are red and enlarged and appear to have a white covering. What should the nurse suspect the diagnosis to be for this client? A. mumps B. mononucleosis C. fifth disease D. rubella

B. mononucleosis

During a routine assessment, the nurse determines that a school-age child has head lice. What did the nurse assess in this child? A. White flecks on hair shafts B. Red raised rash on the neck C. Macular rash on the arms D. Pustule formation on the trunk

A. White flecks on hair shafts

The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which skin condition best describes erythema? A. redness of the skin produced by congestion of the capillaries B. small, circumscribed, solid elevation of the skin C. discolored skin spot not elevated at the surface D. small elevation of epidermis filled with a viscous fluid

A. redness of the skin produced by congestion of the capillaries

After teaching the parents of a child with chickenpox (varicella zoster), the nurse determines that the parents have understood the teaching when they state that their child can return to school at which time? A. After the lesions have crusted B. Once the rash appears C. When the rash is completely healed D. After day 5 of the rash

A. After the lesions have crusted

The nurse is performing a physical examination for a 7-year-old girl who was bitten by a tick. What would alert the nurse to the possibility of early localized Lyme disease? A. Bull's-eye rash around the bite B. Cranial nerve palsies C. Recurrent arthritis in the large joints D. Multiple erythema migrans on the skin

A. Bull's-eye rash around the bite

A nurse is teaching a class to new parents on how to prevent the spread of infection in their children. What is the best suggestion the nurse could offer to these parents? A. Encourage frequent hand hygiene. B. Dress children in long sleeves and pants as often as possible. C. Keep children away from other children younger than their children. D. Keep children at home most of the time.

A. Encourage frequent hand hygiene

Infectious mononucleosis ("mono") is caused by which of the following? A. Epstein-Barr virus B. Treponema pallidum C. Streptococcal bacterium D. Microsporum canis

A. Epstein-Barr virus

A nurse is instructing the parents of a child who is suspected of having pinworms how to check the child. Which instruction would be most appropriate? A. Inspect the child's anus with a flashlight 2 to 3 hours after he is asleep. B. Check the washcloth after having the child wipe himself during bathing. C. Look on the child's bed linens for evidence of black dots. D. Observe the characteristics of the child's stool, which will be watery.

A. Inspect the child's anus with a flashlight 2 to 3 hours after he is asleep.

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? A. Droplet precautions B. Airborne precautions C. Contact precautions D. Standard precautions

C. Contact precautions

The nurse is performing a physical examination on a 9-year-old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. Which assessment finding would the nurse expect to find? A. Confusion and anxiety B. Hypersalivation C. Ring-like rash on lower leg D. Swelling in the neck

C. Ring-like rash on lower leg

A child is diagnosed with group A streptococcal pharyngitis. The nurse would teach the parents to be alert for signs and symptoms of: A. Osteomyelitis. B. pneumonia. C. scarlet fever. D. impetigo

C. scarlet fever.

A toddler is treated for pinworms. To prevent reinfection, what advice would you give the mother? A. Don't allow the child to play with the family dog. B. Don't allow the child to play on the floor. C. Urge the child to void as frequently as possible. D. Help the child wash hands before eating.

D. Help the child wash hands before eating.

The appearance of which hallmark clinical manifestation occurs in measles? A. Conjunctivitis B. Fever C. Cough D. Koplik spots

D. Koplik spots

A nurse practitioner suspects that a child has scarlet fever based on which assessment finding? A. Severity of the sore throat B. An enanthematous rash C. White exudate on the tonsils D. Red, strawberry tongue

D. Red, strawberry tongue

What information should be included in the teaching plan for a child with varicella? A. Place the child in a warm bath for skin discomfort. B. Administer aspirin for fever. C. Utilize salt solutions to assist in healing oral lesions. D. Remind the child not to scratch the lesions.

D. Remind the child not to scratch the lesions.

A 6-year-old child is brought to the clinic by his parents. The parents state, "He had a sore throat for a couple of days and now his temperature is over 102°F (38.9°C). He has this rash on his face and chest that looks like sunburn but feels really rough." What would the nurse suspect? A.Diphtheria D. Pertussis C. Community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) D. Scarlet fever

D. Scarlet fever

The nurse is performing a physical examination of an 8-year-old girl who was bitten by her kitten. Which assessment would lead the nurse to suspect cat-scratch disease? A. Swollen neck B. Infected tonsils C. Strawberry tongue D. Swollen lymph nodes

D. Swollen lymph nodes

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: A. rosacea. B. enterovirus. C. pityriasis rosea. D. fifth disease.

D. fifth disease.

A nursing student learning about childhood infectious diseases correctly identifies which of the following as the disease related to chickenpox, which tends to occur in older children or young adults? A. smallpox B. measles C. mumps D. herpes zoster

D. herpes zoster