Chapter 43
A 3-year-old boy has been on chemotherapy for cancer. He complains about a sore throat, is experiencing malaise, and has a temperature of 99.8 F orally. His mother calls the child's physician. What is the appropriate information for the nurse to give the mother at this time?
"Plan to bring the child into the physician's office today."
The nurse is caring for a 6-year-old boy with mumps. What statement by the child would cause the nurse to suspect the boy is experiencing a complication of mumps?
"Please talk a little louder."
What is a true statement regarding varicella zoster virus infection?
A complication of this infectious includes secondary bacterial infections of the skin
A woman gives birth to a healthy newborn. As part of the newborn's care, the nurse instills erythromycin ophthalmic ointment as a preventative measure for which STI?
Gonorrhea
The nurse caring for children with fugal infections most often administers what medication?
Griseofulvin
A nurse is instructing the parents of a child who is suspected of having pinworms how to check the child. What instructions would be most appropriate?
Inspect the child's anus with a flashlight 2 to 3 hours after his is asleep.
A child who developed parotid gland swelling on March 5 was diagnosed with mumps. The nurse determines that the child will not longer be contagious at what time?
March 14 Children with mumps are no longer considered contagious 9 days following the onset of parotid swelling
A child is brought into the ED by his parents. The parents report that he stepped on a rusty nail about a week and a half ago. The child is complaining of cramping in his jaw and some difficultly swallowing. The nurse suspects tetanus. When assessing the child, the nurse should be alert to which muscle group being affected next?
Neck
The nurse is caring for a 16-year-old child with a diagnosis of AIDS. What goal has the highest priority for this child?
Preventing spread of infection
The nurse is performing a physical exam on a 9-year-old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. What assessment finding would the nurse expect to find?
Ring-like rash on lower leg
The nurse is caring for an adolescent diagnosed with gonorrhea. The drug of choice for treating gonorrhea is what?
Rocephin
The most common complication of varicella includes what?
Secondary bacterial infections
The nurse is collecting data on an adolescent admitted with a diagnosis of a sexually transmitted infection. The child has hard, red painless lesion on his penis. The nurse recognizes the lesion as a chancre which is a sign of what infection?
Syphilis
What is the cardinal sign of the primary stage of syphilis?
The chancre, which is a hard, red, painless lesion at the point of entry of the spirochete. This lesion can appear on the penis, the vulva, or the cervix
One method of preventing communicable diseases in children is to administer vaccines to stimulate the development of antibodies. What best describes what occurs in the child when vaccines are given?
The child develops an active immunity
The nurse is caring for a child hospitalized with pertussis. What nursing intervention would be the highest priority for this child?
The nurse with administer oxygen.
What infection is often contracted by having contact with an infected dog or cat?
Tinea corporis