Week 14

An adolescent is seen in the health care clinic with complaints of chronic fatigue. On physical examination, the nurse notes swollen lymph nodes, and laboratory test results indicate the presence of Epstein-Barr virus (mononucleosis). The nurse provides instruction regarding care of the adolescent. Which statement made by the mother indicates an understanding of the care measures? "I will call the doctor if my child has abdominal or left shoulder pain." "I need to keep my child on bed rest for 3 weeks to discourage physical activity." "I will notify the health care provider if my child is still feeling tired in 1 week." "I need to isolate my child so that the respiratory infection is not spread to others."

"I will call the doctor if my child has abdominal or left shoulder pain."

The nurse provides home care instructions to the parents of a child hospitalized with pertussis who is in the convalescent stage and is being prepared for discharge. Which statement by a parent indicates a need for further instruction? "We need to encourage our child to drink fluids" "Coughing spells may be triggered by dust or smoke" "Vomiting may occur when our child has coughing episodes" "We need to maintain droplet precautions and a quiet environment for at least 2 weeks"

"We need to maintain droplet precautions and a quiet environment for at least 2 weeks"

A school-age child is seen in the health care provider's office for complaints of intense itching mostly at night. The health care provider makes a diagnosis of scabies and prescribes permethrin for treatment of the skin condition. Which at-home instruction should the nurse provide to the mother? Retreatment is recommended the next day. The child's bedding and clothing should be washed in cold water. Leave the lotion on throughout the day and rinse off within 6 hours. Apply the lotion liberally to the body and head, avoiding the eyes and mouth.

Apply the lotion liberally to the body and head, avoiding the eyes and mouth.

The nurse is caring for a child with a diagnosis of roseola. The nurse provides instructions to the mother regarding prevention of the transmission to siblings and other household members. Which instruction should the nurse provide? Isolate the child from others for 2 weeks because the virus is transmitted by breathing and coughing. Wash sheets and towels used by the child separately in bleach to prevent spread of the infection to others. Have the child use a separate bathroom for urination and bowel movements to prevent the spread of infection. Avoid allowing the children to share drinking glasses or eating utensils because the disease is transmitted through saliva.

Avoid allowing the children to share drinking glasses or eating utensils because the disease is transmitted through saliva.

A nurse is providing teaching for an adolescent client who has mononucleosis. The client has a fever, fatigue, swollen lymph nodes, sore throat, and a sore upper abdomen. Which of the following instructions should the nurse include in the teaching? Take antibiotics until symptoms subside Drink plenty of liquids Avoid participating in strenuous activities Allow for periods of rest Take aspirin as needed for fever and discomfort Gargle with saltwater every 2-3 hours

Drink plenty of liquids Avoid participating in strenuous activities Allow for periods of rest Take aspirin as needed for fever and discomfort Gargle with saltwater every 2-3 hours

A child is sent to the school nurse by the teacher. On assessment of the child the nurse notes the presence of a rash. The nurse suspects that the child has erythema infectiosum (fifth disease) based on which assessment finding? A discrete rose-pink maculopapular rash on the trunk A highly pruritic, profuse macule-to-papule rash on the trunk Erythema on the face, giving a "slapped cheeks" appearance A discrete pinkish-red maculopapular rash on the arms and trunk

Erythema on the face, giving a "slapped cheeks" appearance

A child seen in the clinic is found to have rubeola (measles), and the mother asks the nurse how to care for the child. The nurse should tell the mother to implement which action? Keep the child in a room with dim lights. Give the child warm baths to help prevent itching. Allow the child to play outdoors because sunlight will help the rash. Take the child's temperature every 4 hours and administer 1 baby aspirin for fever.

Keep the child in a room with dim lights.

The nurse is caring for a hospitalized child with a diagnosis of measles (rubeola). In preparing to care for the child, which supplies should the nurse bring to the child's room to prevent transmission of the virus? Mask and gloves Gown and gloves Goggles and gloves Gown, gloves, and goggles

Mask and gloves

A nurse is teaching a group of parents about complications of which of the following communicable diseases can lead to pneumonia? Rubella Measles Pertussis Varicella Mumps

Measles Pertussis Varicella

A nurse is teaching a parent of a child who has HIV. Which of the following information should the nurse include? Obtain yearly flu vaccine Monitor a fever for 24 hours before seeking medical care Avoid individuals who have colds Provide nutritional supplements Administer aspirin for pain

Obtain yearly flu vaccine Avoid individuals who have colds Provide nutritional supplements

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. Pastia's sign Koplik's spots White strawberry tongue Edematous and beefy-red pharynx Petechial red, pinpoint spots on the soft palate Small red spots with a bluish-white center and a red base located on the buccal mucosa

Pastia's sign White strawberry tongue Edematous and beefy-red pharynx

The clinic nurse is assessing a child who is scheduled to receive a live virus vaccine. What are the general contraindications associated with this? Symptoms of a cold Previous anaphylactic reaction to vaccine Intermittent episodes of diarrhea Hasn't had an appetite and has been fussy Disorder that caused a severely deficient immune system Recently been exposed to infectious disease

Previous anaphylactic reaction to vaccine Disorder that caused a severely deficient immune system

A nurse is assessing a client who has pertussis. Which of the following findings should the nurse expect? Runny nose Mild fever Cough with whooping sound Swollen salivary glands Red rash

Runny nose Mild fever Cough with whooping sound

The clinic nurse is instructing the parent of a child with HIV regarding immunizations. The nurse should provide which instruction to the parent? The Hepatitis B vaccine will not be given to the child The inactivated flu vaccine will be given to the child The varicella vaccine will be given before 6 months of age A western blot test needs to be performed and results evaluated before giving immunizations

The inactivated flu vaccine will be given to the child

A nurse is caring for a child who has a vesicular rash. The parents of the child asks the nurse what illness can cause this rash for 6 DAYS. The nurse should expect that the child has which of the following conditions? Varicella Measles Mumps Pertussis

Varicella