While participating in a religious humanitarian effort in West Africa the nurse sees several children with symptoms of an acute viral infection. What additional manifestations should cause the nurse to suspect that these children are experiencing smallpox? Select all that apply
1. Rash localized to the trunk
2. Rash contains areas of scabbing
3. Rash located along a nerve track
4. Rash contains macules and papules
5. Rash on both sides of the face and arms
2, 4, 5
Rationale 1: Chickenpox has a rash that begins in the trunk.
Rationale 2: In smallpox the rash contains areas of scabbing.
Rationale 3: Shingles has a rash that is located along a nerve track.
Rationale 4: In smallpox the rash contains macules and papules.
Rationale 5: In smallpox the rash is on the face and extremities.
Global Rationale: In smallpox the rash contains areas of scabbing, contains macules and papules and appears on the face and extremities. Chickenpox has a rash that begins in the trunk. Shingles has a rash that is located along a nerve track.
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