A parent reports that her 5-year-old child,who has had all recommended immunizations,had a mild fever one week ago and now has bright red cheeks and a lacy red maculopapular rash on the trunk and arms. The nurse recognizes that this child may have
1. chicken pox (varicella).
2. German measles (rubella).
3. roseola (exanthem subitum).
4. Fifth disease (erythema infectiosum).
Answer:4
Rationale:Fifth disease manifests first with a flulike illness,followed by a red "slapped-cheek"sign. Then a lacy maculopapular erythematous rash spreads symmetrically from the trunk to the extremities,sparing the soles and palms. Varicella (chicken pox) and rubella (German measles) are unlikely if the child has had all recommended immunizations. The rash of varicella progresses from papules to vesicles to pustules. The rash of rubella is a pink maculopapular rash that begins on the face and progresses downward to the trunk and extremities. Roseola typically occurs in infants and begins abruptly with a high fever followed by a pale pink rash starting on the trunk and spreading to the face,neck,and extremities.
You might also like to view...
The nurse is caring for a patient who takes an antiarrhythmic agent and is reporting a complete lack of appetite. Which cardiac antiarrhythmic agent would the nurse suspect the patient is taking?
A) Diltiazem (Cardizem) B) Propranolol (Inderal) C) Lidocaine (Lidocaine Parenteral) D) Amiodarone (Cordarone)
During the physical assessment of the client, the nurse notes that the client is able to shrug her shoulders bilaterally. The function of which of the following cranial nerves is intact?
1. Cranial nerve I (olfactory) 2. Cranial nerve II (optic) 3. Cranial nerve VII (facial) 4. Cranial nerve XI (spinal accessory)
Which primary skin lesion presents as a temporary elevation of the skin?
1) Macule 2) Keloid 3) Papule 4) Wheal
A nurse is counseling a client who is considering having genetic testing completed to determine whether she is a carrier of the gene linked to Huntington's disease. What is the first step the nurse would take when assessing this client?
a. Assess vital signs. b. Assess family history of this disorder. c. Assess client's past medical history. d. Assess current medications.