The nurse is working with a child who is immunosuppressed. The parents call to tell the nurse that the child has been exposed to varicella. Which of the following courses of action will the nurse suggest?
a. Call the pediatrician, and get the child prompt treatment with a varicella immune globulin within 72 hours of exposure.
b. Isolate the child, and get an order for an immunization for varicella if the child has not received the immunization.
c. Take the child to the emergency room there the doctor will begin intravenous (IV) antibiotics.
d. Take the child to the doctor's office to be seen by the nurse practitioner or the pediatrician.
A
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A Correct. If a child who is immunosuppressed is exposed to varicella, the parents need to call the pediatrician, and get the child prompt treatment with a varicella immune globulin within 72 hours of exposure as a preventive measure. Varicella can be an overwhelming infection in this child.
B Incorrect. The parents should not isolate the child, and get an order for an immunization for varicella if the child has not received the immunization. Prompt treatment with varicella immune globulin is needed.
C Incorrect. The parents may take the child to the emergency room if directed so by their pediatrician. However, IV antibiotics will not be given.
D Incorrect. The parents should not take the child to the doctor's office to be seen by the nurse practitioner or the pediatrician.
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