Saunders Infectious 576

The home health nurse visits a child with infectious mononucleosis and provides home care instructions to the parents about the care of the child. Which instruction should the nurse give to the parents? 1. Maintain the child on bed rest for 2 weeks. 2. Maintain respiratory precautions for 1 week. 3. Notify the health care provider (HCP) if the child develops a fever. 4. Notify the HCP if the child develops abdominal pain or left shoulder pain.

4. Notify the HCP if the child develops abdominal pain or left shoulder pain.

A child diagnosed with scarlet fever is being cared for at home. The home health nurse performs an assessment on the child and checks for which clinical manifestations of this disease? Select all that apply. 1. Pastia's sign 2. Koplik's spots 3. White strawberry tongue 4. Edematous and beefy-red pharynx 5. Petechial red, pinpoint spots on the soft palate 6. Small red spots with a bluish-white center and a red base located on the buccal mucosa

1. Pastia's sign 3. White strawberry tongue 4. Edematous and beefy-red pharynx

A child with rubeola (measles) is being admitted to the hospital. In preparing for the admission of the child, the nurse should plan to place the child on which precautions? 1. Enteric 2. Airborne 3. Protective 4. Neutropenic

2. Airborne

The nurse provides instructions to the mother of a child with mumps regarding respiratory precautions and the mother asks the nurse about the length of time required for the respiratory precautions. The nurse should make which statement to the mother? 1. Droplet precautions are not necessary once the swelling appears 2. Droplet precautions are not necessary before the swelling begins 3. Droplet precautions are indicated during the period of communicability 4. Droplet precautions are indicated for 18 days following the onset of parotid swelling.

3. Droplet precautions are indicated during the period of communicability

The clinic nurse prepares to administer a measles, mumps, rubella (MMR) vaccine to a 5-year-old child. The nurse should administer this vaccine by which route and in which best site? 1. Subcutaneously in the gluteal muscle 2. Intramuscularly in the deltoid muscle 3. Subcutaneously in the outer aspect of the upper arm 4. Intramuscularly in the anterolateral aspect of the thigh

3. Subcutaneously in the outer aspect of the upper arm

A mother brings her 6-year-old child to the clinic because the child has developed a rash on the trunk and scalp. The mother reports that the child has had a low-grade fever, has not felt like eating, and has been tired. The child is diagnosed with chickenpox. The mother inquires about the communicable period associated with chickenpox, and the nurse bases the response on which statement? 1. The communicable period is unknown. 2. The communicable period ranges from 2 weeks or less to 4 weeks. 3. The communicable period is 10 days before the onset of symptoms to 15 days after the rash appears. 4. The communicable period is 1 to 2 days before the onset of the rash to 6 days after the first crop of vesicles, when crusts have formed.

4. The communicable period is 1 to 2 days before the onset of the rash to 6 days after the first crop of vesicles, when crusts have formed.

An infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at a well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which intervention should the nurse suggest to the parent? 1. Monitor the infant for a fever. 2. Bring the infant back to the clinic. 3. Apply a hot pack to the injection site. 4. Apply a cold pack to the injection site.

4. Apply a cold pack to the injection site.

A nurse is preparing to administer a measles, mumps, rubella (MMR) vaccination to a 1-year-old child. List the steps that the nurse should take when administering this vaccination. (place in order) 1. Obtain parental consent 2. Select the appropriate site 3. administer the vaccination 4. Verify the order for immunization 5. Document the lot number of the vaccination 6. provide a vaccination record for parents to keep

2. Select the appropriate site 4. Verify the order for immunization 5. Document the lot number of the vaccination 1. Obtain parental consent 3. administer the vaccination 6. provide a vaccination record for parents to keep

The clinic nurse is assessing a child who is scheduled to receive a live virus vaccine (immunization). What are the general contraindications associated with receiving a live virus vaccine? Select all that apply. 1. The child has symptoms of a cold. 2. The child had a previous anaphylactic reaction to the vaccine. 3. Mother reports that the child is having intermittent episodes of diarrhea. 4. Mother reports that the child has not had an appetite and has been fussy. 5. The child has a disorder that caused a severely deficient immune system. 6. Mother reports that the child has recently been exposed to an infectious disease.

2. The child had a previous anaphylactic reaction to the vaccine. 5. The child has a disorder that caused a severely deficient immune system.

Several children have contracted rubeola (measles) in a local school, and the school nurse conducts a teaching session for the parents of the schoolchildren. Which statement made by a parent indicates a need for further teaching regarding this communicable disease? 1. "Small blue-white spots with a red base may appear in the mouth." 2. "The rash usually begins on the face and spreads downward toward the feet." 3. "The disease can be spread to others 10 days before any sign of the disease appears to 15 days after the rash appears." 4. "Respiratory symptoms such as a profuse runny nose, cough, and fever occur before the development of a rash."

3. "The disease can be spread to others 10 days before any sign of the disease appears to 15 days after the rash appears."

A child is scheduled to receive inactivated polio vaccine (IPV), and the nurse preparing to administer the vaccine reviews the child's record. The nurse questions the administration of IPV if which is documented in the child's record? 1. Recent recovery from a cold 2. A history of frequent respiratory infections 3. A history of an anaphylactic reaction to neomycin 4. A local reaction at the site of injection of a previous IPV

3. A history of an anaphylactic reaction to neomycin

A child is receiving a series of the hepatitis B vaccine and arrives at the clinic with his parent for the second dose. Before administering the vaccine, the nurse should ask the child and parent about a history of a severe allergy to which substance? 1. Eggs 2. Penicillin 3. Sulfonamides 4. A previous dose of hepatitis B vaccine or component

4. A previous dose of hepatitis B vaccine or component

A parent brings her 4-month-old infant to a well-baby clinic for immunizations. The child is up to date with the immunization schedule. The nurse should prepare to administer which immunizations to this infant? 1. Varicella, hepatitis B vaccine (HepB) 2. Diphtheria, tetanus, acellular pertussis (DTaP); measles, mumps, rubella (MMR); inactivated poliovirus vaccine (IPV) 3. MMR, Haemophilus influenzae type b (Hib), DTaP 4. DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus (RV)

4. DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus (RV)

A child hospitalized with pertussis is in the convalescent stage, and the nurse is preparing the child for discharge. The nurse has provided instructions to the parents for home care of the child. Which statement by a parent indicates a need for further teaching? 1. "It is important that my child drinks plenty of fluids." 2. "A quiet environment helps to prevent episodes of coughing spells." 3. "We need to teach the other members of the family how to use good hand washing techniques to prevent the spread of infection." 4. "I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the spread of the virus to them."

4. "I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the spread of the virus to them."

The mother of a preschooler who attends day care calls a clinic nurse and tells the nurse that the child is constantly scratching the perianal area and that the area is irritated. The nurse suspects the possibility of pinworm infection (enterobiasis) and instructs the mother to obtain a rectal specimen by a tape test. At what time should the nurse tell the mother to obtain the specimen? 1. After bathing 2. After toileting 3. When the child is put to bed 4. In the morning, when the child awakens

4. In the morning, when the child awakens