chapter 43

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? Keep children away from other children younger than their children. Dress children in long sleeves and pants as often as possible. Keep children at home most of the time. Encourage frequent hand hygiene.

Encourage frequent hand hygiene.

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

Help the child wash hands before eating.

During a health promotion seminar with community members, the nurse provides information to support the 2020 National Health Goal to prevent and reduce the incidence of infectious disease in children. What information did the nurse most likely provide? Getting adequate rest and sleep each day Participating in age-appropriate exercise Importance of maintaining appropriate immunizations Ingesting the recommended amount of fresh fruit and vegetables

Importance of maintaining appropriate immunizations

The appearance of which hallmark clinical manifestation occurs in measles? Cough Conjunctivitis Koplik spots Fever

Koplik spots

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? Measles Scabies Mumps Whooping cough

Mumps

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

Remind the child not to scratch the lesions.

The parents state they are afraid to have their child vaccinated and ask the nurse for more information. Which response by the nurse is most appropriate? "Your child will probably not acquire the disease because other children are vaccinated." "Vaccinations are very effective at preventing serious disease and infection." "State-required vaccinations are needed for your child to attend school." "There are no side effects from vaccinations that you need to worry about."

"Vaccinations are very effective at preventing serious disease and infection."

A group of grade-school children is going camping. Which information should the school nurse provide to prevent Lyme disease? "Don't approach strange animals outside the campsite." "Don't drink water from mountain streams while hiking." "Don't touch any bush without knowing what kind it is." "Wear jeans tucked inside your socks when in the woods."

"Wear jeans tucked inside your socks when in the woods."

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? Once the rash appears After the lesions have crusted When the rash is completely healed After day 5 of the rash

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? Recurrent arthritis in the large joints Bull's-eye rash around the bite Multiple erythema migrans on the skin Cranial nerve palsies

Bull's-eye rash around the bite

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? The tongue has a white or red "strawberry" appearance Vesicles that become purulent, ooze, and form honey-colored crusts There is pain along the jawline just in front of the ear lobe Fever blisters on the lips

The tongue has a white or red "strawberry" appearance

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

White flecks on hair shafts

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? mumps mononucleosis fifth disease rubella

mononucleosis

While assessing a child, the nurse notes a runny nose, temperature 100.4°F (38°C), and a whoop sound when the child coughs. On which diagnosis will the nurse anticipate providing education for this family? pertussis tuberculosis influenza nasopharyngitis

pertussis

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? puncture wound with a rusty object using a friend's comb bite of a tick not properly washing hands

using a friend's comb