An immunosuppressed child is admitted to the hospital with ...

[ARLKQ]

An immunosuppressed child is admitted to the hospital with varicella (chickenpox). The nurse should be prepared to administer which prescribed medication?
 
  a. Erythromycin (Pediazole)
  b. Varicella vaccine
  c. Acetylsalicylic acid (Aspirin)
  d. Acyclovir (Zovirax)

Question 2

Which sexually transmitted disease would the nurse suspect when an adolescent girl comes to the clinic because she has a vaginal discharge that is white with a fishy smell?
 
  a. Human papillomavirus
  b. Bacterial vaginosis
  c. Trichomonas
  d. Chlamydia

[komodo7]

Answer to Question 1

D
Acyclovir is the antiviral medication that would be used in this case. Response to antiviral drugs is good provided that treatment is started early in the illness. Erythromycin is an antibiotic that is prescribed for bacterial infections. The varicella vaccine is a live virus and would be contraindicated for an immunosuppressed child. Aspirin is not given to children with viral illnesses because of the risk of the child developing Reyes disease.

Answer to Question 2

B
Bacterial vaginosis is characterized by a profuse, white, malodorous (fishy smelling) vaginal discharge that sticks to the vaginal walls. Manifestations of the human papillomavirus are anogenital warts that begin as small papules and grow into clustered lesions. Infections with Trichomonas are frequently asymptomatic. Symptoms in females may include dysuria, vaginal itching, burning, and a frothy, yellowish-green, foul-smelling discharge. Many people with chlamydial infections have few or no symptoms. Urethritis with dysuria, urinary frequency, or mucopurulent discharge may indicate chlamydial infection.

[ARLKQ]

TYSM

[AmberC1996]

Excellent