A NEWEST VERSION - Communicable Diseases {ALREADY GRADED A+ } NEWE...

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NCLEX- Pediatrics Infectious & Communicable Diseases {ALREADY GRADED

A+ } NEWEST VERSION

• Several children have contracted rubeola (measles) in a local school, and the school

nurse conducts a teaching session for the parents of the school children. Which statement, if made by a parent, indicates a need for further teaching regarding this communicable disease?

• "Small blue-white spots with a red base may appear in the mouth."
• "The rash usually begins centrally and spreads downward to the limbs."
• "Respiratory symptoms such as a very runny nose, cough, and fever occur before

the development of a rash."

• "The communicable period ranges from 10 days before the onset of symptoms to 15

days after the rash appears." Correct Answer: 4. "The communicable period ranges from 10 days before the onset of symptoms to 15 days after the rash appears."

• A child seen in the clinic is found to have rubeola (measles) and the mother asks the

nurse how to care for the child. Which instruction should the nurse provide to the mother?

• 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.

Correct Answer: 1. Keep the child in a room with dim lights.

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• The nurse reinforces home care instructions to the parents of a child hospitalized with

pertussis. The child is in the convalescent stage and is being prepared for discharge. Which statement by the parents indicates a need for further teaching?

• "We need to encourage adequate fluid intake."
• "Coughing spells may be triggered by dust or smoke."
• "We need to maintain respiratory precautions and a quiet environment for at least 2

weeks."

• "Good hand-washing techniques need to be instituted to prevent spreading the

disease to others." Correct Answer: 3. "We need to maintain respiratory precautions and a quiet environment for at least 2 weeks."

• The nurse reviews the home care instructions with a parent of a 3-year-old with

pertussis. Which statement by the parent indicates a need for further teaching?

• "I know that my child will make a loud whooping sound."
• "I understand this whooping cough is viral and I have to let it run its course."
• "I understand that I need to watch for respiratory distress signs with pertussis."
• "I can reduce the environmental factors that can trigger coughing, like dust and

smoke." Correct Answer: 2. "I understand this whooping cough is viral and I have to let it run its course."

• The nurse is reviewing instructions to a parent of a 6-year-old on how to prevent

influenza. Which statement by the parent indicates a need for further teaching?

• "I will get a flu shot and I will have my child get a flu shot too."
• "I will avoid having my child come into contact with sick children."
• "I will have my child wash her hands frequently during the flu season."

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• "I will not let my child play with other children who have the flu unless they are

taking acetaminophen." Correct Answer: 4. "I will not let my child play with other children who have the flu unless they are taking acetaminophen."

• A child is diagnosed with chicken pox. The nurse collects data regarding the child. Which

finding is characteristic of chicken pox?

• Macular rash on the trunk and scalp
• Pseudomembrane formation in the throat
• Maculopapular or petechial rash on the extremities
• Small, red spots with a bluish-white center and red base

Correct Answer: 1. Macular rash on the trunk and scalp

• A child is diagnosed with infectious mononucleosis. The nurse reinforces homecare

instructions to the parents about the care of the child. Which instruction should the nurse provide to the parents?

• Maintain the child on bed rest for 2 weeks.
• Maintain respiratory precautions for 1 week.
• Notify the pediatrician if the child develops a fever.
• Notify the pediatrician if the child develops abdominal or left shoulder pain.

Correct Answer: 4. Notify the pediatrician if the child develops abdominal or left shoulder pain.

• A child is diagnosed with scarlet fever. The nurse collects data regarding the child. Which

is characteristic of scarlet fever?

• Pastia's sign
• Abdominal pain and flaccid paralysis
• Dense pseudoformation membrane in the throat

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• Foul-smelling and mucopurulent nasal drainage

Correct Answer: 1. Pastia's sign

• The mother of a toddler with mumps asks the nurse what she needs to watch for in her

child with this disease. The nurse bases the response on the understanding that mumps is which type of communicable disease?

• Skin rash caused by a virus
• Skin rash caused by a bacteria
• Respiratory disease caused by virus involving the lymph nodes
• Respiratory disease caused by a virus involving the parotid gland

Correct Answer: 4. Respiratory disease caused by a virus involving the parotid gland

• A child with rubeola (measles) is being admitted to the hospital. When preparing for the

admission of the child, which precautions should be implemented? Select all that apply.

• Enteric
• Contact
• Airborne
• Protective
• Neutropenic

Correct Answer: 2. Contact and 3. Airborne

• A child is brought to a clinic after developing a rash on the trunk and on the scalp. The

parents report that the child has had a low-grade fever, has not felt like eating, and has been generally tired. The child is diagnosed with chickenpox. Which statement by the nurse is accurate regarding chickenpox?

• The communicable period is unknown.
• The communicable period ranges from 2 weeks or less up to several months.