ESSENTIALS OF PEDIATRIC NURSING 4TH
EDITION BY KYLE AND CARMAN 2026
REVISION WORKBOOK COMPREHENSIVE
NOTES A+
◉ A nurse is assessing a child with a tick-borne disease. What
finding would indicate to the nurse that the child has developed
ehrlichiosis and not Rocky Mountain spotted fever?
Fever
Absence of rash
Malaise
Headache. Answer: Absence of rash
Both Rocky Mountain spotted fever and ehrlichiosis are manifested
by fever, headache, and malaise. However, there is rarely a rash with
ehrlichiosis, which helps to differentiate it from Rocky Mountain
spotted fever.
◉ An adolescent girl and her caregiver present at the pediatrician's
office. The adolescent reports severe abdominal pain. A diagnosis of
pelvic inflammatory disease (PID) is made. The nurse notes in the
,child's chart that this is the third time she has been treated for PID.
Which action by the nurse would be most appropriate?
Take the child to a private room and interview her regarding her
sexual history and partners.
Contact the necessary authorities to report a suspected case of
sexual abuse.
Take the caregiver to a private room and tell her that the child's
diagnosis can only come from sexual activity.
Talk to the child and caregiver together and explain that the
condition is often a result of a sexually transmitted infection and
discuss the importance of safe sex practices.. Answer: Take the child
to a private room and interview her regarding her sexual history and
partners.
Adolescents must be made aware of the seriousness of PID, a
common result of a chlamydial infection. Pelvic inflammatory
disease can cause sterility in the female, primarily by causing
scarring in the fallopian tubes that prohibits the passage of the
fertilized ovum into the uterus. A tubal pregnancy may be the
consequence of a chlamydial infection. In the male, sterility may
result from epididymitis caused by a chlamydial infection. All sexual
partners must be treated.
◉ The nurse is caring for an adolescent diagnosed with genital
herpes. The drug of choice for treating genital herpes is:
,Ceftriaxone
Penicillin
Griseofluvin
Acyclovir. Answer: Acyclovir
The drug acyclovir is useful in relieving or suppressing the
symptoms of genital herpes.
◉ 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?
Whooping cough
Measles
Scabies
Mumps. Answer: Mumps
Mumps is an infectious disease with a primary symptom of a
swollen parotid gland. It is a contagious disease spread by droplets.
The child is contagious 1 to 7 days prior to the onset of the swelling
and 4 to 9 days after the onset of the swelling. Pertussis is a
respiratory disorder which causes severe paroxysmal coughing
which produces a whooping sound. Measles is recognized by Koplick
, spots in the mouth and the classic maculopapular rash that starts on
the head and spreads downward. Scabies is a skin condition where
lice lay eggs under the skin. The rash is very puritic and is seen on
the hands, feet, and folds of the skin.
◉ A nursing instructor is teaching the students about the standard
and transmission-based precautions. What type of precautions
require placing a client in an isolated room with limited access,
wearing gloves during contact with the client and all body fluids or
contaminated items, wearing two layers of protective clothing, and
avoiding sharing equipment between clients?
Contact precautions
Airborne precautions
Standard precautions
Droplet precautions. Answer: Contact precautions
Contact precautions means placing the client in an isolation room
with limited access, wearing gloves during contact with the client
and all body fluids, wearing two layers of protective clothing,
limiting movement of the client from the room, and avoiding sharing
equipment between clients. Standard precautions are used with
every client. They involve good handwashing and the use of gloves
for client contact. Airborne precautions are used for diseases where
small particles are dispersed in the air. They require the client in a
negative pressure room and, in addition to standard personal
EDITION BY KYLE AND CARMAN 2026
REVISION WORKBOOK COMPREHENSIVE
NOTES A+
◉ A nurse is assessing a child with a tick-borne disease. What
finding would indicate to the nurse that the child has developed
ehrlichiosis and not Rocky Mountain spotted fever?
Fever
Absence of rash
Malaise
Headache. Answer: Absence of rash
Both Rocky Mountain spotted fever and ehrlichiosis are manifested
by fever, headache, and malaise. However, there is rarely a rash with
ehrlichiosis, which helps to differentiate it from Rocky Mountain
spotted fever.
◉ An adolescent girl and her caregiver present at the pediatrician's
office. The adolescent reports severe abdominal pain. A diagnosis of
pelvic inflammatory disease (PID) is made. The nurse notes in the
,child's chart that this is the third time she has been treated for PID.
Which action by the nurse would be most appropriate?
Take the child to a private room and interview her regarding her
sexual history and partners.
Contact the necessary authorities to report a suspected case of
sexual abuse.
Take the caregiver to a private room and tell her that the child's
diagnosis can only come from sexual activity.
Talk to the child and caregiver together and explain that the
condition is often a result of a sexually transmitted infection and
discuss the importance of safe sex practices.. Answer: Take the child
to a private room and interview her regarding her sexual history and
partners.
Adolescents must be made aware of the seriousness of PID, a
common result of a chlamydial infection. Pelvic inflammatory
disease can cause sterility in the female, primarily by causing
scarring in the fallopian tubes that prohibits the passage of the
fertilized ovum into the uterus. A tubal pregnancy may be the
consequence of a chlamydial infection. In the male, sterility may
result from epididymitis caused by a chlamydial infection. All sexual
partners must be treated.
◉ The nurse is caring for an adolescent diagnosed with genital
herpes. The drug of choice for treating genital herpes is:
,Ceftriaxone
Penicillin
Griseofluvin
Acyclovir. Answer: Acyclovir
The drug acyclovir is useful in relieving or suppressing the
symptoms of genital herpes.
◉ 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?
Whooping cough
Measles
Scabies
Mumps. Answer: Mumps
Mumps is an infectious disease with a primary symptom of a
swollen parotid gland. It is a contagious disease spread by droplets.
The child is contagious 1 to 7 days prior to the onset of the swelling
and 4 to 9 days after the onset of the swelling. Pertussis is a
respiratory disorder which causes severe paroxysmal coughing
which produces a whooping sound. Measles is recognized by Koplick
, spots in the mouth and the classic maculopapular rash that starts on
the head and spreads downward. Scabies is a skin condition where
lice lay eggs under the skin. The rash is very puritic and is seen on
the hands, feet, and folds of the skin.
◉ A nursing instructor is teaching the students about the standard
and transmission-based precautions. What type of precautions
require placing a client in an isolated room with limited access,
wearing gloves during contact with the client and all body fluids or
contaminated items, wearing two layers of protective clothing, and
avoiding sharing equipment between clients?
Contact precautions
Airborne precautions
Standard precautions
Droplet precautions. Answer: Contact precautions
Contact precautions means placing the client in an isolation room
with limited access, wearing gloves during contact with the client
and all body fluids, wearing two layers of protective clothing,
limiting movement of the client from the room, and avoiding sharing
equipment between clients. Standard precautions are used with
every client. They involve good handwashing and the use of gloves
for client contact. Airborne precautions are used for diseases where
small particles are dispersed in the air. They require the client in a
negative pressure room and, in addition to standard personal
