The nurse is caring for a school-age child with varicella. What should the nurse observe about the rash that is associated with this infection?
A) Dark red color
B) Noticeable crusts but no pruritus
C) Dark red, macular, very pruritic lesions
D) Various stages of lesions present at the same time
D
Feedback:
Most of chickenpox lesions are found on the trunk; although, the face, scalp, palate, and neck also may be involved. They appear in approximately three separate series or crops, with each new lesion moving through progressive stages. At some point, all four stages of lesions—macule, papule, vesicle, and crust—can be present. The lesions are not dark red in color. These lesions are very itchy.
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Which body system is most highly influenced by previous life patterns and environmental conditions?
a. Circulatory b. Integumentary c. Respiratory d. Gastrointestinal
A client is ordered a nitroglycerine transdermal patch for treatment of CAD and asks the nurse why the patch is removed at bedtime. Which is the best response by the nurse?
A) "Nitroglycerine causes headaches, but removing the patch decreases the incidence." B) "You do not need the effects of nitroglycerine while you sleep." C) "Removing the patch at night prevents drug tolerance while keeping the benefits." D) "Contact dermatitis and skin irritations are common when the patch remains on all day."
A woman who is 6 weeks pregnant tells the nurse that she is worried that, even though she is taking folic acid supplements, the baby might have spina bifida because of a family history. The nurse's response should be based on what?
a. Prenatal detection is not possible yet. b. There is no genetic basis for the defect. c. Chromosome studies done on amniotic fluid can diagnose the defect prenatally. d. Open neural tube defects (NTDs) result in elevated concentrations of ?-fetoprotein in amniotic fluid.
When giving a complete bed bath, you need to use:
a. Mitted washcloth b. Towelettes c. Swabs d. Sponge