Question 1

A child is diagnosed with a helminthic infection. Which of the following would the nurse expect to be prescribed? Select all answers that apply.

Accepted Answer

A)   Erythromycin
B)   Albendazole
C)   Pyrantel pamoate
D)   Acyclovir
E)   MetronidazoleF)  PermethrinG) B) and D)
H) C) and E)

Question 2

A nurse is conducting a health history for a 1-month-old with an infectious disorder. Which segment of the health history would be most helpful for the nurse when determining if the infant developed the infection from the mother?

Accepted Answer

A)   Family history
B)   Past medical history
C)   Home treatments
D)   Present illness historyE) A) and B)
F) C) and D)

Question 3

The nurse is preparing to obtain a blood specimen via capillary heel puncture. Which of the following would be most appropriate for the nurse to do?

Accepted Answer

A)   Apply a cool compress for several minutes before collection
B)   Elevate the extremity used after puncturing it
C)   Squeeze the area to facilitate specimen collection
D)   Wipe away the first drop of blood with dry gauzeE) A) and D)
F) C) and D)

Question 4

A child is diagnosed with scarlet fever. The nurse is reviewing the child's medical record, expecting which medication to be prescribed for this child?

Accepted Answer

A)   Ibuprofen
B)   Acyclovir
C)   Penicillin V
D)   DoxycyclineE) C) and D)
F) B) and D)

Question 5

While reviewing various studies about the use of antipyretics possibly prolonging illness, the nurse notes that there are benefits to their use for the child with fever. Which of the following would the nurse identify as the best explanation related to the benefit of antipyretics?

Accepted Answer

A)   They slow the growth of bacteria.
B)   They increase neutrophil production.
C)   They encourage T-cell proliferation.
D)   They help decrease fluid requirements.E) A) and D)
F) All of the above

Question 6

A group of nursing students are reviewing information about childhood infectious diseases. The students demonstrate understanding of this information when they identify which of the following as a common childhood exanthema?

Accepted Answer

A)   Mumps
B)   Rabies
C)   Rubella
D)   West Nile virusE) A) and B)
F) A) and C)

Question 7

The nurse determines that it is necessary to implement airborne precautions for children with which of the following infections?

Accepted Answer

A)   Measles
B)   Streptococcus group A
C)   Rubella
D)   Scarlet feverE) A) and D)
F) None of the above

Question 8

After teaching a mother how to remove a tick from her 6-year-old boy's arm, the nurse determines that additional teaching is needed when the mother states which of the following?

Accepted Answer

A)   "I'll protect my fingers with a paper towel."
B)   "I'll grasp the tick and pull it away quickly."
C)   "I should put the tick in a plastic bag in the freezer."
D)   "I need to grasp the tick close to the child's skin."E) All of the above
F) A) and D)

Question 9

A group of nursing students are reviewing the six links in the chain of infection and the nursing implications for each. The students demonstrate understanding of the information when they identify which precaution as helping to break the chain of infection to the susceptible host?

Accepted Answer

A)   Keeping linens dry and clean
B)   Maintaining skin integrity
C)   Washing hands frequently
D)   Coughing into a handkerchiefE) B) and C)
F) A) and D) B

Question 10

The nurse is preparing a plan of care for a 5-year-old boy with chickenpox. Which of the following nursing interventions should be questioned?

Accepted Answer

A)   Administer antipyretics as ordered.
B)   Keep the child's fingernails short.
C)   Monitor fluid intake and output.
D)   Provide alcohol baths as needed.E) B) and C)
F) All of the above

Question 11

A nursing instructor is teaching a group of students about the action of antipyretic agents in children. The instructor determines that the teaching has been successful when the students identify which of the following as the primary action?

Accepted Answer

A)   Cause vasodilation to promote heat loss
B)   Decrease the temperature set point
C)   Block release of histamine
D)   Promote prostaglandin productionE) A) and D)
F) None of the above

Question 12

The parents of a 5-year-old have just found out that their child has head lice. Which statement by the parents would support the nursing diagnosis of deficient knowledge?

Accepted Answer

A)   "I can't believe it. We're not unclean, poor people."
B)   "We'll have to get that special shampoo."
C)   "Everybody in the house will need to be checked."
D)   "That explains his complaints of itching on his neck."E) A) and D)
F) All of the above

Question 13

The nurse is performing a physical examination of an 8-year-old girl who was bitten by her kitten. Which of the following assessments would lead the nurse to suspect cat- scratch disease?

Accepted Answer

A)   Swollen lymph nodes
B)   Strawberry tongue
C)   Infected tonsils
D)   Swollen neckE) B) and C)
F) B) and D)

Question 14

A nurse suspects that an adolescent may have community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) . Which of the following would the nurse expect to assess? Select all answers that apply.

Accepted Answer

A)   Participation in contact sport
B)   Recent cut on the lower leg
C)   History of a recent sort throat
D)   Raised fluctuant lesions
E)   Erythematous rash over the trunk and faceF) A) and B)
G) A) and C)

Question 15

The nurse is performing a physical examination on a 9-year-old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. Which assessment finding would the nurse expect to find?

Accepted Answer

A)   Swelling in the neck
B)   Confusion and anxiety
C)   Ring-like rash on lower leg
D)   HypersalivationE) A) and D)
F) A) and C)

Question 16

A mother brings her 8-year-old son for evaluation because of a rash on his lower leg. Which finding would support the suspicion that the child has Lyme disease?

Accepted Answer

A)   Playing in the woods about a week ago
B)   Rash is papular and vesicular
C)   High fever occurring about 4 days before the rash
D)   Complaints of extreme pruritus with visible nitsE) C) and D)
F) A) and B)

Question 17

A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through which of the following?

Accepted Answer

A)   Amniotic fluid
B)   Placenta
C)   Birth canal
D)   Breast milkE) A) and B)
F) All of the above B

Question 18

A school-aged child with an infectious disease is placed on transmission-based precautions. Which nursing diagnosis would most likely be a priority?

Accepted Answer

A)   Impaired skin integrity related to trauma secondary to pruritus and scratching
B)   Fluid volume deficit related to increased metabolic demands and insensible losses
C)   Social isolation related to infectivity and inability to go to the playroom
D)   Deficient knowledge related to how infection is transmittedE) C) and D)
F) A) and D) C

Question 19

The nurse is developing a teaching plan for the mother of a 4-year-old girl with cold and fever. Which of the following would the nurse include in this teaching plan?

Accepted Answer

A)   Keeping the child covered and warm
B)   Calling the doctor if the child's fever lasts more than 36 hours
C)   Ensuring fluid intake to prevent dehydration
D)   Observing for changes in alertness resulting from brain damageE) A) and B)
F) A) and C)

Question 20

The nurse is caring for a neonate who is suspected of having sepsis. Which of the following assessment findings would the nurse interpret as most indicative of sepsis?

Accepted Answer

A)   Rash on face
B)   Edematous neck
C)   Hypothermia
D)   CoughingE) B) and C)
F) None of the above

Exam 37: Nursing Care of the Child With an Infectious or Communicable Disorder

A child is diagnosed with a helminthic infection. Which of the following would the nurse expect to be prescribed? Select all answers that apply.

Correct AnswerverifiedShow Answer

A nurse is conducting a health history for a 1-month-old with an infectious disorder. Which segment of the health history would be most helpful for the nurse when determining if the infant developed the infection from the mother?

Correct AnswerverifiedShow Answer

The nurse is preparing to obtain a blood specimen via capillary heel puncture. Which of the following would be most appropriate for the nurse to do?

Correct AnswerverifiedShow Answer

A child is diagnosed with scarlet fever. The nurse is reviewing the child's medical record, expecting which medication to be prescribed for this child?

Correct AnswerverifiedShow Answer

While reviewing various studies about the use of antipyretics possibly prolonging illness, the nurse notes that there are benefits to their use for the child with fever. Which of the following would the nurse identify as the best explanation related to the benefit of antipyretics?

Correct AnswerverifiedShow Answer

A group of nursing students are reviewing information about childhood infectious diseases. The students demonstrate understanding of this information when they identify which of the following as a common childhood exanthema?

Correct AnswerverifiedShow Answer

The nurse determines that it is necessary to implement airborne precautions for children with which of the following infections?

Correct AnswerverifiedShow Answer

After teaching a mother how to remove a tick from her 6-year-old boy's arm, the nurse determines that additional teaching is needed when the mother states which of the following?

Correct AnswerverifiedShow Answer

A group of nursing students are reviewing the six links in the chain of infection and the nursing implications for each. The students demonstrate understanding of the information when they identify which precaution as helping to break the chain of infection to the susceptible host?

Correct AnswerverifiedB

The nurse is preparing a plan of care for a 5-year-old boy with chickenpox. Which of the following nursing interventions should be questioned?

Correct AnswerverifiedShow Answer

A nursing instructor is teaching a group of students about the action of antipyretic agents in children. The instructor determines that the teaching has been successful when the students identify which of the following as the primary action?

Correct AnswerverifiedShow Answer

The parents of a 5-year-old have just found out that their child has head lice. Which statement by the parents would support the nursing diagnosis of deficient knowledge?

Correct AnswerverifiedShow Answer

The nurse is performing a physical examination of an 8-year-old girl who was bitten by her kitten. Which of the following assessments would lead the nurse to suspect cat- scratch disease?

Correct AnswerverifiedShow Answer

A nurse suspects that an adolescent may have community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) . Which of the following would the nurse expect to assess? Select all answers that apply.

Correct AnswerverifiedShow Answer

The nurse is performing a physical examination on a 9-year-old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. Which assessment finding would the nurse expect to find?

Correct AnswerverifiedShow Answer

A mother brings her 8-year-old son for evaluation because of a rash on his lower leg. Which finding would support the suspicion that the child has Lyme disease?

Correct AnswerverifiedShow Answer

A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through which of the following?

Correct AnswerverifiedB

A school-aged child with an infectious disease is placed on transmission-based precautions. Which nursing diagnosis would most likely be a priority?

Correct AnswerverifiedC

The nurse is developing a teaching plan for the mother of a 4-year-old girl with cold and fever. Which of the following would the nurse include in this teaching plan?

Correct AnswerverifiedShow Answer

The nurse is caring for a neonate who is suspected of having sepsis. Which of the following assessment findings would the nurse interpret as most indicative of sepsis?

Correct AnswerverifiedShow Answer

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B

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B

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C

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