Author Question: The nurse is caring for an 18-month-old child with rotavirus. What clinical manifestations should ... (Read 59 times)

K@ · **on:** Jun 28, 2018

The nurse is caring for an 18-month-old child with rotavirus. What clinical manifestations should the nurse expect to observe?

a. Severe abdominal cramping and bloody diarrhea
b. Mild fever and vomiting followed by onset of watery stools
c. Colicky abdominal pain and vomiting
d. High fever, diarrhea, and lethargy

Question 2

What consideration is important for the nurse when changing dressings and applying topical medication to a child's abdomen and leg burns?

a. Apply topical medication with clean hands.
b. Wash hands and forearms before and after dressing change.
c. If dressings have adhered to the wound, soak in hot water before removal.
d. Apply dressing so that movement is limited during the healing process.

Mochi · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Rotavirus is one of the most common pathogens that cause gastroenteritis in children younger than the age of 2 years. Clinical manifestations include mild to moderate fever and vomiting followed by the onset of watery stools. The fever and vomiting usually abate in 1 or 2 days, but the diarrhea persists for 5 to 7 days. Severe abdominal cramping and bloody diarrhea are seen with Escherichia coli infection; colicky abdominal pain and vomiting are seen with salmonella infection; and high fever, diarrhea, and lethargy are seen with infection by Salmonella typhi.

Answer to Question 2

ANS: B
Frequent hand and forearm washing is the single most important element of the infection-control program. Topical medications should be applied with a tongue blade or gloved hand. Dressings that have adhered to the wound can be removed with tepid water or normal saline. Dressings are applied with sufficient tension to remain in place but not so tightly as to impair circulation or limit motion.