Author Question: A child taking oral corticosteroids for asthma is exposed to varicella. The child has not had the ... (Read 54 times)

a0266361136 · **on:** Jun 27, 2018

A child taking oral corticosteroids for asthma is exposed to varicella. The child has not had the varicella vaccine and has never had the disease. What intervention should be taken to prevent varicella from developing?

a. No intervention is needed unless varicella develops.
b. Administer the varicella vaccine as soon as possible.
c. The child should begin a course of oral antibiotics.
d. The child should be prescribed acyclovir.

Question 2

A mother with diabetes has done some reading about the effects of the condition on her newborn. Which statement shows a misunderstanding that should be clarified by the nurse?

a. Although my baby is large, some women with diabetes have very small babies
because the blood flow through the placenta may not be as good as it should be.
b. My baby will be watched closely for signs of low blood sugar, especially during
the early days after birth.
c. The red appearance of my baby's skin is due to an excessive number of red blood
cells.
d. My baby's pancreas may not produce enough insulin because the cells became
smaller than normal during my pregnancy.

BAOCHAU2803 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Feedback
A Children taking oral corticosteroids are immunosuppressed and are at high risk
for serious complications. Intervention must be taken to prevent the disease
when exposure occurs.
B The varicella vaccine is a live virus vaccine and is contraindicated for an
immunosuppressed child.
C An antibiotic is not effective in treating varicella zoster, which is a virus.
D For children receiving short-term corticosteroid treatment, acyclovir is often used
in the treatment plan.

Answer to Question 2

D
Feedback
A This is a correct statement.
B Neonates of diabetic mothers are prone to hypoglycemia.
C High hematocrits in neonates of diabetic mothers have a ruddy look.
D Infants of diabetic mothers may have hypertrophy of the islets of Langerhans,
which may cause them to produce more insulin than they need.