peds protective mechanisms

Infectious mononucleosis ("mono") is caused by which of the following?

Epstein-Barr virus

The nurse is caring for an infant brought to the clinic for a rash. The nurse notes a blanchable, rose-pink macular rash on the trunk. The nurse obtains the following vital signs: temperature 99.0°F (37°C), pulse 100 bpm, respiratory rate 22 breaths/minute, and oxygen saturation 100% on room air. Which question by the nurse will be most helpful when planning interventions?

"Has your child had a recent fever?"

The nurse is providing teaching to the parents of a child with varicella. Which statement indicates that the parents have understood the instructions?

"We need to make sure that he washes his hands frequently."

The nursing is caring for a hospitalized child diagnosed with varicella-zoster virus. The child's parents ask how to prevent the child's siblings from contracting the virus. Which response by the nurse is best?

"We will place your child on contact and airborne precautions. It is best for the other children not to visit."

The nurse assesses a child and notes the following: oral temperature 101.1°F (38.3°C), pruritis, and a generalized rash that develops in crops with macules, papules, vesicles, and crusts present. The parent reports the child is immunocompromised. Which health care provider prescription(s) will the nurse request? Select all that apply.

- acyclovir liquid suspension -complete blood count (CBC) -placement in private hospital room -diphenhydramine topical cream for itching

The nurse is caring for a school-aged child hospitalized with an infectious disease. The child is placed on transmission-based precautions. What would the nurse include in the plan of care? Select all that apply.

-allow the child to view the staff's face through the door window before entering the room -encourage the parents to contact friends and classmates so cards can be sent and displayed -monitor the child for changes in mood or level of aggression -provide the child with age-appropriate games and toys for his or her room -plan for extra time to visit the child throughout the shift between assessments and procedures

A teenage client active on the high school football team comes to the clinic with a cut on his leg that looks infected. The culture report returns information that leads to a diagnosis of methicillin-resistant Staphylococcus aureus (MRSA). What should the nurse use as preventive measures in this case?

-handwashing -contact precautions -gloves

Which collaborative intervention will the nurse provide when caring for an infant diagnosed with pertussis? Select all that apply.

-have suction available in the room -encourage small, frequent feedings -administer erythromycin for 10 days -utilize droplet and standard precautions

The nurse is caring for a child with an infectious disorder and the following vital signs: temperature 103.1°F (39.5°C), pulse 106 bpm, respiratory rate 24 breath/minute, and oxygen saturation 93% on room air. The child reports pain 4/10 using the Wong-Baker FACES scale. Which nursing intervention is priority?

Don appropriate personal protective equipment (PPE)

sWhat is a true statement regarding varicella zoster virus infection?

secondary bacterial infections of the skin can occur

The nurse is caring for a child hospitalized with pertussis. Which nursing intervention would be the highest priority for this child?

the nurse will administer oxygen

A toddler diagnosed with pertussis is hospitalized and placed on droplet precautions. The antibiotic therapy is initiated on Sunday. On which day would it be appropriate for the nurse to discontinue droplet precautions?

friday

The nurse caring for children with fungal infections most often administers which medication?

griseofulvin

The nurse is instructing a group of parents about transmission of infectious diseases in children. Which would the nurse cite as the primary method for prevention?

immunization

After teaching a class on the role of white blood cells in infection, the instructor determines that the teaching was successful when the class identifies which type of white blood cells as important in combating bacterial infections?

neutrophils

The nurse is discussing medications to be given to a child who has been diagnosed with oral candidiasis (thrush). Which medication would most likely be prescribed for the child?

nystatin

The nurse is caring for a newborn who was delivered vaginally. The infant has a white coating in the mouth that looks like milk curds. The nurse suspects that the infant has:

oral candidiasis (thrush) caused by Candida albicans

A child is diagnosed with group A streptococcal pharyngitis. The nurse would teach the parents to be alert for signs and symptoms of:

scarlet fever

A child is newly-diagnosed with whooping cough (pertussis) and being cared for at home. Which nursing interventions would be appropriate to include in the child's plan of care? Select all that apply.

-initiate bed rest daily -instruct eliminating cigarette smoke and dust -finish a 10-day course of erythromycin or azithromycin

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

red, strawberry tongue