Which intervention is appropriate for a hospitalized child who has crops of lesions on the trunk that appear as a macular rash and vesicles?
a. Place the child in strict isolation; airborne and contact precautions.
b. Continue to practice Standard Precautions.
c. Pregnant women should avoid contact with the child.
d. Screen visitors for immunity to measles.
A
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A The child's skin lesions are characteristic of varicella. Varicella is transmitted
through direct contact, droplets, and airborne particles. In the hospital setting,
children with varicella should be placed in strict isolation, and on Contact and
Airborne Precautions. The purpose is to prevent transmission of microorganisms
by inhalation of small-particle droplet nuclei and to protect other patients and
health care providers from acquiring this disease.
B The child's skin lesions are characteristic of varicella. Additional measures must
be instituted to protect other patients and staff who may be susceptible to the
disease.
C Certain viral illnesses such as rubella and fifth disease are known to affect the
fetus if the woman contracts the disease during pregnancy. This child appears to
have varicella. Pregnancy is not a contraindication to caring for a child with
varicella.
D The child appears to have varicella. Screening visitors for immunity to measles is
irrelevant. It is important to screen visitors for immunity to varicella.
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