Author Question: A febrile preschool-aged child presents to the after-hours clinic. Varicella (chickenpox) is ... (Read 119 times)

mckennatimberlake · **on:** Jul 22, 2018

A febrile preschool-aged child presents to the after-hours clinic. Varicella (chickenpox) is diagnosed on the basis of the illness history and the presence of small, circumscribed skin lesions filled with serous fluid.

Which type of skin lesion will the nurse report?
a. Vesicles
b. Wheals
c. Papules
d. Pustules

Question 2

A parent calls the school nurse with questions regarding the recent school vision screening. Snellen chart examination revealed 20/60 for both eyes. Which response by the nurse is the best regarding the eye examination results?

a. Your child needs to see an ophthalmologist.
b. Your child is suffering from strabismus.
c. Your child may have presbyopia.
d. Your child has cataracts.

kardosa007 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A
Vesicles are circumscribed, elevated skin lesions filled with serous fluid that measure less than 1 cm. Wheals are irregularly shaped, elevated areas of superficial localized edema that vary in size. They are common with mosquito bites and hives. Papules are palpable, circumscribed, solid elevations in the skin that are smaller than 1 cm. Pustules are elevations of skin similar to vesicles, but they are filled with pus and vary in size like acne.

Answer to Question 2

ANS: A
The child needs an eye examination with an ophthalmologist or optometrist. Normal vision is 20/20. The larger the denominator, the poorer the patient's visual acuity. For example, a value of 20/60 means that the patient, when standing 20 feet away, can read a line that a person with normal vision can read from 60 feet away. Strabismus is a (congenital) condition in which both eyes do not focus on an object simultaneously: The eyes appear crossed. Acuity may not be affected; Snellen test does not test for strabismus. Presbyopia is impaired near vision that occurs in middle-aged and older adults and is caused by loss of elasticity of the lens. Cataracts, a clouding of the lens, develop slowly and progressively after age 35 or suddenly after trauma.