PrepU PEDS

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?

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

The nurse is assessing the skin of a 6-year-old child with urticaria. When interviewing the child and parents, which question would be most important for the nurse to ask?

"Is the child having any trouble breathing?"

A nursing instructor is teaching about infectious diseases in childhood. The teacher identifies a need for clarification when a student makes which of the following statements?

"Lesions in chickenpox progress at the same rate."

A child is diagnosed with varicella zoster and has been prescribed acyclovir 15 mg/kg q 8 hours IV. The child weighs 62 lb (28.1 kg). How many milligrams should the nurse administer in each dose? Record your answer using a whole number.

420

The nurse is preparing to administer acyclovir intravenously to a child with varicella infection who is immunocompromised. The nurse correctly administers the medication over which time frame?

60 minutes

After teaching the parents of a child with 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?

After the lesions have crusted

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

Apply cool compresses to the skin to stop local itching.

A 30-month-old child has been discharged from the hospital after receiving treatment for partial-thickness burns over 6% of the body. One week later, the parent calls the nurse to say that the child has been drinking from a cup for one year, but is now constantly pulling at the mother's breast trying to nurse and refuses to drink from a cup. What is the best way for the nurse respond?

Explain that children who have had a serious injury sometimes exhibit regressive behavior

The nurse is conducting a presentation for a group of parents at the local pediatric community health center. The nurse is describing the importance of immunizations to prevent common viral infections such as rubeola and rubella. As part of the presentation, the nurse describes the development of rubeola and explains the progression of signs and symptoms. Place the signs and symptoms listed below in the order that the nurse would describe them. Use all options.

Fever Rash Koplik spots Desquamation

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?

Herpes zoster

The appearance of which hallmark clinical manifestation occurs in measles?

Koplik spots

A nursing instructor is describing the progression of signs and symptoms associated with varicella from earliest to latest. Place the signs and symptoms below in the sequence that the instructor would describe them.

Low-grade fever Macular rash Papular rash Vesicle formation Crusting

A young client in the clinic has a rash, cough, and fever that the parent says spiked on day 5 of the rash. The client also had conjunctivitis. What illness would the nurse expect the health care provider to diagnose?

Measles

A mother brings her 8-year-old son for evaluation because of a rash on his lower leg. Which finding would support the suspicion that the child has Lyme disease?

Playing in the woods about a week ago

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

Remind the child not to scratch the lesions.

When reviewing infectious diseases in the pediatric population, nursing students identify which disease as a common childhood exanthema?

Rubella

What is a true statement regarding varicella zoster virus infection?

Secondary bacterial infections of the skin can occur.

The nurse is caring for a 6-month-old child with a rash. Which information from the parent strongly suggests that roseola is the diagnosis?

The infant's temperature fell when the rash appeared.

The parents of a child diagnosed with varicella are concerned about their other children getting it. The nurse instructs the parents that their child is contagious for how much longer now that the rash has appeared?

Until there are no more new lesions and lesions have crusted over

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

a child with erythema infectiosum experiencing fatigue and confusion

The nurse is assessing a child with a varicella infection. The nurse would be alert for which of the following as a possible complication? Select all that apply.

secondary bacterial infections

A parent calls the nurse to discuss a rash. The nurse suspects that the rash possibly could be varicella when the parent describes rash characteristics as:

various stages of lesions present at the same time.