Which intervention is appropriate for a hospitalized child who ...

[abarnes]

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 and on air-borne precautions.
  b. Continue to practice standard precautions.
  c. Pregnant women should avoid contact with the child.
  d. Screen visitors for immunity to measles.

Question 2

A parent asks the nurse how she would know whether her child has fifth disease. The nurse would advise the parent to be alert for which manifestation?
 
  a. Bull's-eye rash at the site of a tick bite
  b. Lesions in various stages of development on the trunk
  c. Maculopapular rash on the trunk that lasts for 2 days
  d. Bright red rash on the cheeks that looks like slapped cheeks

[Carissamariew]

Answer to Question 1

A
The child's skin lesions are characteristic of varicella. In the hospital setting, children with varicella should be placed in strict isolation and on airborne precautions. The purpose is to prevent transmission of microorganisms by inhalation of small-particle droplet nuclei and to protect other patients and healthcare providers from acquiring this disease. Screening visitors for immunity to measles is irrelevant. It would be important to screen visitors for immunity to varicella. 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.

Answer to Question 2

D
Fifth disease presents with an intense, fiery red, edematous rash on the cheeks, which gives a slapped cheek appearance. The bull's-eye rash at the site of a tick bite is a manifestation of Lyme disease. Varicella is manifested as lesions in various stages of developmentmacule, papule, then vesicle, first appearing on the trunk and scalp. Roseola manifests as a maculopapular rash on the trunk that can last for hours or up to 2 days.