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NUR243 CH15 Nursing Care of the Child with an Infection.

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Chapter 15: Nursing Care of the Child with an Infection - Page 492Add a Note Question 322sSee full questionThe nurse is caring for a 16-year-old child with a diagnosis of acquiredimmunodeficiency syndrome (AIDS). What treatment goal hasthehighestpriority for this child?You Selected:Preventing spread of infectionCorrect response:Preventing spread of infectionExplanation:Major goals for the child include maintaining the highest level of wellnesspossible by preventing infection and the spread of the infection. Because theadolescent has the belief that nothing can hurt him or her, and because ofthe increasing rate of sexual activity in this age group often involvingmultiple partners, the highest priority is teaching and preventing the spreadof the infection. Other goals include maintaining skin integrity, minimizingpain, improving nutrition, alleviating social isolation, and diminishing afeeling of hopelessness. The primary goal for the family is improving copingskills and helping the teen cope with the illness. Reference:Kyle, T., & Carman, S.Essentials of Pediatric Nursing, 3rd ed.,Philadelphia: Wolters Kluwer, 2017, Chapter 15: Nursing Care of theChild with an Infection, p. 453.Chapter 15: Nursing Care of the Child with an Infection - Page 453Add a Note Question 411sSee full questionA child is brought to the clinic with fever, cough, and coryza. The nurseinspects the child's mouth and observes what look like tiny grains of whitesand with red rings. How would the nurse document these findings?You Selected:Koplik spotsCorrect response: Koplik spotsExplanation:Koplik spots are bright red spots with blue-white centers appearing primarilyon the buccal mucosa and indicate rubeola (measles). They are oftendescribed as tiny grains of white sand surrounded by red rings.Lymphadenopathy is used to document enlargement of the lymph nodes.Slapped cheek appearance refers to the erythematous flushing associatedwith fifth disease. Nits refer to the adult eggs of pediculosis.Reference:Kyle, T., & Carman, S.Essentials of Pediatric Nursing, 3rd ed.,Philadelphia: Wolters Kluwer, 2017, Chapter 15: Nursing Care of theChild With an Infection, p. 472.Chapter 15: Nursing Care of the Child with an Infection - Page 472Add a Note

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Question 1 See full question 6s
The nurse is caring for an adolescent diagnosed with genital herpes. The
drug of choice for treating genital herpes is:
You Selected:


Acyclovir

Correct response:


Acyclovir

Explanation:

The drug acyclovir is useful in relieving or suppressing the symptoms of
genital herpes.
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed.,
Philadelphia: Wolters Kluwer, 2017, Chapter 15: Nursing Care of the
Child with an Infection, p. 491.
Chapter 15: Nursing Care of the Child with an Infection - Page 491
Add a Note

Question 2 See full question 9s
The nurse is caring for an adolescent diagnosed with syphilis. The drug of
choice for treating syphilis is:
You Selected:


Penicillin

Correct response:


Penicillin

Explanation:

Syphilis responds to one intramuscular injection of penicillin G benzathine; if
the child is sensitive to penicillin, oral doxycycline, tetracycline, or
erythromycin can be administered as alternative treatment.
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed.,
Philadelphia: Wolters Kluwer, 2017, Chapter 15: Nursing Care of the
Child with an Infection, p. 492.

, Chapter 15: Nursing Care of the Child with an Infection - Page 492
Add a Note

Question 3 See full question 22s
The nurse is caring for a 16-year-old child with a diagnosis of acquired
immunodeficiency syndrome (AIDS). What treatment goal has
the highest priority for this child?
You Selected:


Preventing spread of infection

Correct response:


Preventing spread of infection

Explanation:

Major goals for the child include maintaining the highest level of wellness
possible by preventing infection and the spread of the infection. Because the
adolescent has the belief that nothing can hurt him or her, and because of
the increasing rate of sexual activity in this age group often involving
multiple partners, the highest priority is teaching and preventing the spread
of the infection. Other goals include maintaining skin integrity, minimizing
pain, improving nutrition, alleviating social isolation, and diminishing a
feeling of hopelessness. The primary goal for the family is improving coping
skills and helping the teen cope with the illness.
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed.,
Philadelphia: Wolters Kluwer, 2017, Chapter 15: Nursing Care of the
Child with an Infection, p. 453.
Chapter 15: Nursing Care of the Child with an Infection - Page 453
Add a Note

Question 4 See full question 11s
A child is brought to the clinic with fever, cough, and coryza. The nurse
inspects the child's mouth and observes what look like tiny grains of white
sand with red rings. How would the nurse document these findings?
You Selected:


Koplik spots

Correct response:

, •
Koplik spots

Explanation:

Koplik spots are bright red spots with blue-white centers appearing primarily
on the buccal mucosa and indicate rubeola (measles). They are often
described as tiny grains of white sand surrounded by red rings.
Lymphadenopathy is used to document enlargement of the lymph nodes.
Slapped cheek appearance refers to the erythematous flushing associated
with fifth disease. Nits refer to the adult eggs of pediculosis.
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed.,
Philadelphia: Wolters Kluwer, 2017, Chapter 15: Nursing Care of the
Child With an Infection, p. 472.
Chapter 15: Nursing Care of the Child with an Infection - Page 472
Add a Note

Question 5 See full question 16s
A group of nursing students are reviewing the functions of white blood cells.
The students demonstrate an understanding of the information when they
identify which white blood cell as responsible for combating allergic
disorders?
You Selected:


Eosinophils

Correct response:


Eosinophils

Explanation:

Eosinophils function to combat allergic disorders and parasitic infestations.
Neutrophils function to combat bacterial infections. Lymphocytes function to
combat viral infections. Monocytes function to combat severe infections.
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed.,
Philadelphia: Wolters Kluwer, 2017, Chapter 15: Nursing Care of the
Child With an Infection, p. 451.
Chapter 15: Nursing Care of the Child with an Infection - Page 451
Add a Note

, Question 6 See full question 12s
A 6-year-old child is brought to the clinic by his parents. The parents state,
"He had a sore throat for a couple of days and now his temperature is over
102°F (38.9°C). He has this rash on his face and chest that looks like sunburn
but feels really rough." What would the nurse suspect?
You Selected:


Scarlet fever

Correct response:


Scarlet fever

Explanation:

Scarlet fever typically is associated with a sore throat, fever greater than
101° F (38.9° C), and the characteristic rash on the face, trunk, and
extremities that looks like sunburn but feels like sandpaper. CAMRSA is
typically manifested by skin and tissue infections. Diphtheria is characterized
by a sore throat and difficulty swallowing but fever is usually below 102°F .
Airway obstruction is apparent. Pertussis is characterized by cough and cold
symptoms that progress to paroxysmal coughing spells along with copious
secretions.
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed.,
Philadelphia: Wolters Kluwer, 2017, Chapter 15: Nursing Care of the
Child With an Infection, p. 467.
Chapter 15: Nursing Care of the Child with an Infection - Page 467
Add a Note

Question 7 See full question 13s
A nurse practitioner suspects that a child has scarlet fever based on which
assessment finding?
You Selected:


Red, strawberry tongue

Correct response:


Red, strawberry tongue

Explanation:

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