PEDS EXAM 2 QUESTIONS AND
CORRECT ANSWERS
AA26-year-
oldA2childA2isA2broughtA2toA2theA2clinicA2byA2hisA2parents.A2TheA2parentsA2state,A2"HeA2had
A2aA2soreA2throatA2forA2aA2coupleA2ofA2daysA2andA2nowA2hisA2temperatureA2isA2overA2102°F
A2(38.9°C).A2HeA2hasA2thisA2rashA2onA2hisA2faceA2andA2chestA2thatA2looksA2likeA2sunburnA2
butA2feelsA2reallyA2rough."A2WhatA2wouldA2theA2nurseA2suspect?A2-A2Ans--ScarletA2fever
ScarletA2feverA2typicallyA2isA2associatedA2withA2aA2soreA2throat,A2feverA2greaterA2thanA210
1°A2FA2(38.9°A2C),A2andA2theA2characteristicA2rashA2onA2theA2face,A2trunk,A2andA2extremitie
sA2thatA2looksA2likeA2sunburnA2butA2feelsA2likeA2sandpaper.A2CAMRSAA2isA2typicallyA2mani
festedA2byA2skinA2andA2tissueA2infections.A2DiphtheriaA2isA2characterizedA2byA2aA2soreA2thr
oatA2andA2difficultyA2swallowingA2butA2feverA2isA2usuallyA2belowA2102°FA2.A2AirwayA2obstru
ctionA2isA2apparent.A2PertussisA2isA2characterizedA2byA2coughA2andA2coldA2symptomsA2tha
tA2progressA2toA2paroxysmalA2coughingA2spellsA2alongA2withA2copiousA2secretions.
AA2youngA2clientA2arrivesA2atA2theA2clinicA2withA2aA2rashA2onA2theA2trunkA2andA2flexorA2surf
acesA2ofA2theA2extremities.A2TheA2parentA2informsA2theA2nurseA2thatA2theA2rashA2startedA2
aA2dayA2beforeA2onA2theA2exteriorA2surfacesA2ofA2theA2extremities;A22A2daysA2before,A2theA
2childA2hadA2aA2reallyA2badA2rashA2onA2theA2face.A2TheA2healthA2careA2providerA2diagnose
sA2theA2childA2withA2erythemaA2infectiosum.A2TheA2nurseA2tellsA2theA2parentA2thatA2thisA2is
A2alsoA2knownA2as:A2-A2Ans--fifthA2disease.
ErythemaA2infectiosumA2isA2alsoA2knownA2asA2"fifthA2disease."A2ItA2startsA2withA2aA2fever,A2
headache,A2andA2malaise.A2OneA2weekA2later,A2aA2rashA2appearsA2onA2theA2face.A2AA2day
A2later,A2theA2rashA2appearsA2onA2theA2extensorA2surfacesA2ofA2theA2extremities.A2OneA2m
oreA2dayA2later,A2theA2rashA2appearsA2onA2theA2trunkA2andA2flexorA2surfacesA2ofA2theA2extr
emities.A2PityriasisA2roseaA2isA2aA2skinA2rashA2thatA2beginsA2withA2aA2largeA2spotA2onA2theA
2chest,A2abdomenA2orA2backA2thatA2isA2followedA2byA2paaternA2ofA2smallA2lesions.A2ItA2isA2s
elfA2limitingA2andA2canA2beA2treatedA2withA2steroidA2creams.A2RoseaceaA2isA2aA2chronicA2i
nflmmatoryA2skinA2conditionA2thatA2causesA2rednessA2toA2theA2face.A2AnA2enterovirusA2inf
ectionA2canA2manyA2timesA2causeA2theA2sameA2symptomsA2asA2theA2commonA2coldA2orA2it
A2canA2includeA2theA2respiratoryA2system.A2ItA2isA2contagious.
AA2childA2isA2diagnosedA2withA2scarletA2fever.A2HistoryA2revealsA2thatA2theA2childA2hasA2no
A2knownA2drugA2allergies.A2WhenA2preparingA2theA2child'sA2planA2ofA2care,A2theA2nurseA2w
ouldA2anticipateA2administeringA2whichA2agentA2asA2theA2drugA2ofA2choice?A2-A2Ans--
PenicillinA2V
PenicillinA2VA2isA2theA2antibioticA2ofA2choice.A2InA2thoseA2sensitiveA2toA2penicillin,A2erythro
mycinA2mayA2beA2used.A2Trimethoprim-
sulfamethoxazoleA2andA2clarithromycinA2areA2notA2used.
,WhatA2informationA2shouldA2beA2includedA2inA2theA2teachingA2planA2forA2aA2childA2withA2va
ricella?A2-A2Ans--RemindA2theA2childA2notA2toA2scratchA2theA2lesions.
VaricellaA2lesionsA2appearA2firstA2onA2theA2scalp.A2TheyA2speadA2toA2theA2face,A2theA2trun
kA2andA2thenA2toA2theA2extremities.A2ThereA2mayA2beA2variousA2stageA2ofA2theA2lesionsA2pr
esentA2atA2anyA2oneA2time.A2TheA2lesionsA2areA2intenselyA2pruritic.A2TheA2teachingA2planA2
forA2varicellaA2shouldA2includeA2thatA2theA2childA2notA2scratchA2theA2lesions.A2OpeningA2th
eA2lesionsA2givesA2accessA2forA2secondaryA2infectionA2toA2occurA2andA2causesA2acarring.A
2AcetaminophenA2shouldA2beA2administeredA2forA2fever,A2notA2aspirin,A2dueA2toA2theA2linkA
2withA2ReyeA2syndrome.A2TheA2bestA2treatmentA2forA2skinA2discomfortA2isA2aA2coolA2bathA2
withA2soothingA2colloidalA2oatmealA2everyA23A2toA24A2hoursA2forA2theA2firstA2fewA2days.A2W
armA2bathsA2causeA2moreA2itchingA2andA2dryA2theA2skin.
TheA2nurseA2isA2providingA2teachingA2toA2theA2parentsA2ofA2aA2childA2withA2varicella.A2Whi
chA2statementA2indicatesA2thatA2theA2parentsA2haveA2understoodA2theA2instructions?A2-
A2Ans--"WeA2needA2toA2makeA2sureA2thatA2heA2washesA2hisA2handsA2frequently."
A2
TheA2childA2withA2varicellaA2needsA2toA2washA2hisA2handsA2frequentlyA2withA2antibacterialA
2soapA2toA2reduceA2bacterialA2colonization.A2AA2coolA2bathA2withA2soothingA2colloidalA2oat
mealA2mayA2helpA2theA2skinA2discomfort.A2AlcoholA2wouldA2beA2tooA2dryingA2toA2theA2skin.
A2Acetaminophen,A2notA2aspirin,A2shouldA2beA2usedA2toA2reduceA2fever.A2TheA2lesionsA2sh
ouldA2eventuallyA2crustA2over.A2SoftA2crustsA2withA2drainageA2mayA2suggestA2anA2infection
.
TheA2nurseA2isA2obtainingA2aA2healthA2historyA2andA2assessmentA2forA2aA2childA2beingA2ad
mittedA2whoA2isA2suspectedA2ofA2havingA2measles.A2WhatA2signsA2andA2symptomsA2doesA
2theA2nurseA2expectA2toA2findA2duringA2theA2assessment?A2SelectA2allA2thatA2apply.A2-
A2Ans--
MaculopapularA2rashA2thatA2beganA2onA2theA2faceA2andA2hasA2spreadA2toA2theA2restA2ofA2t
heA2body
Fever
UpperA2respiratoryA2infectionA2symptoms
A2
MaculopapularA2rashA2thatA2beganA2onA2theA2faceA2andA2hasA2spreadA2toA2theA2restA2ofA2t
heA2body,A2fever,A2andA2upperA2respiratoryA2infectionA2symptomsA2areA2characteristicA2ofA
2bothA2rubellaA2(GermanA2measles)A2andA2rubeolaA2(measles).A2Clear,A2fluid-
filledA2vesiclesA2areA2characteristicA2ofA2chickenA2poxA2(varicellaA2zoster.A2ErythematousA
2flushingA2isA2commonA2withA2erythemaA2infectiosumA2(fifthA2disease).
AA216-year-
oldA2isA2seenA2inA2theA2emergencyA2departmentA2withA2symptomsA2includingA2aA2highA2fe
ver,A2chills,A2headache,A2nauseaA2andA2vomiting,A2andA2painfulA2joints.A2DuringA2theA2nur
singA2historyA2theA2teenagerA2reportsA2recentlyA2returningA2fromA2aA2tripA2toA2aA2rainA2fore
stA2inA2SouthA2America.A2WhatA2infectiousA2diseaseA2doesA2theA2nurseA2suspectA2theA2cli
entA2hasA2contracted?A2-A2Ans--Malaria
, MalariaA2comesA2fromA2aA2biteA2ofA2AnophelesA2speciesA2ofA2mosquitoA2andA2isA2mostlyA2
foundA2inA2Africa,A2AsiaA2andA2SouthA2America.A2AnaplasmosisA2comesA2fromA2aA2tickA2a
ndA2occursA2mostlyA2inA2theA2upperA2MidwestA2andA2northeastA2UnitedA2States.A2WestA2Ni
leA2diseaseA2comesA2fromA2aA2mosquitoA2andA2isA2foundA2throughoutA2UnitedA2States,A2wi
thA2higherA2ratesA2foundA2inA2GreatA2PlainsA2andA2mountainA2regions.A2RabiesA2isA2aA2vira
lA2infectionA2thatA2comesA2fromA2closeA2contactA2withA2theA2salivaA2ofA2aA2rabidA2animal.
TheA2parentsA2ofA2aA23-year-
oldA2childA2reportA2heA2wasA2exposedA2toA2pertussisA22A2daysA2ago.A2TheyA2areA2concern
edA2andA2askA2theA2nurseA2howA2longA2itA2willA2takeA2untilA2heA2becomesA2illA2ifA2heA2indee
dA2contractedA2theA2infection.A2WhatA2responseA2byA2theA2nurseA2isA2indicated?A2-
A2Ans--"TheA2signsA2ofA2diseaseA2willA2beA2notedA2inA21A2toA23A2weeks."
PertussisA2isA2anA2acuteA2respiratoryA2disorderA2characterizedA2byA2paroxysmalA2coughA2
(whoopingA2cough)A2andA2copiousA2secretions.A2TheA2diseaseA2isA2causedA2byA2Bordetell
aA2pertussis.A2TheA2incubationA2periodA2isA26A2toA221A2days,A2usuallyA27A2toA210A2days.
TheA2rashA2inA2roseolaA2isA2pruritic.A2WhichA2measureA2wouldA2youA2teachA2theA2parentA2t
oA2provideA2comfort?A2-A2Ans--
ApplyA2coolA2compressesA2toA2theA2skinA2toA2stopA2localA2itching.
RashesA2canA2beA2uncomfortableA2andA2irritating.A2ParentsA2needA2toA2beA2educatedA2on
A2waysA2toA2relieveA2discomfortA2andA2toA2protectA2andA2maintainA2skinA2integrity.A2CoolA2
compressesA2orA2coolA2bathsA2willA2helpA2toA2relieveA2theA2itchingA2associatedA2withA2theA
2rash.A2AntipureticsA2mayA2beA2necessaryA2alsoA2toA2helpA2withA2itching.A2ToA2protectA2th
eA2skinA2theA2childA2shouldA2beA2instructedA2notA2toA2scratchA2theA2skinA2toA2alleviateA2itch
ing.A2TheA2child'sA2fingernailsA2shouldA2beA2keptA2short.A2KeepingA2theA2childA2dressedA2
warmlyA2willA2notA2bringA2outA2theA2rashA2anyA2sooner.A2BeingA2warmA2will,A2however,A2ca
useA2anA2increasedA2temperatureA2andA2intensifyA2theA2itching.A2AspirinA2shouldA2notA2be
A2usedA2inA2childrenA2asA2anA2antipyretic.A2ThereA2isA2anA2increasedA2riskA2ofA2developing
A2Reye'sA2syndrome.
AA2nurseA2practitionerA2suspectsA2thatA2aA2childA2hasA2scarletA2feverA2basedA2onA2whichA2
assessmentA2finding?A2-A2Ans--Red,A2strawberryA2tongue
TheA2characteristicA2assessmentA2findingA2thatA2distinguishesA2scarletA2feverA2fromA2othe
rA2disordersA2isA2theA2appearanceA2ofA2theA2red,A2strawberryA2tongue.A2SoreA2throat,A2anA
2enanthematousA2andA2exanthematousA2rash,A2andA2whiteA2exudateA2onA2theA2tonsilsA2ar
eA2alsoA2seenA2withA2scarletA2fever,A2butA2itA2isA2theA2strawberryA2tongueA2thatA2helpsA2toA
2confirmA2theA2diagnosis.
AA29-month-
oldA2childA2hasA2beenA2admittedA2toA2ruleA2outA2sepsis.A2WhichA2findingA2offersA2theA2mos
tA2supportA2toA2theA2presenceA2ofA2thisA2disorder?A2-A2Ans--
TheA2childA2hasA2hadA28A2ouncesA2ofA2formulaA2inA2theA2pastA224A2hours.
A2
CORRECT ANSWERS
AA26-year-
oldA2childA2isA2broughtA2toA2theA2clinicA2byA2hisA2parents.A2TheA2parentsA2state,A2"HeA2had
A2aA2soreA2throatA2forA2aA2coupleA2ofA2daysA2andA2nowA2hisA2temperatureA2isA2overA2102°F
A2(38.9°C).A2HeA2hasA2thisA2rashA2onA2hisA2faceA2andA2chestA2thatA2looksA2likeA2sunburnA2
butA2feelsA2reallyA2rough."A2WhatA2wouldA2theA2nurseA2suspect?A2-A2Ans--ScarletA2fever
ScarletA2feverA2typicallyA2isA2associatedA2withA2aA2soreA2throat,A2feverA2greaterA2thanA210
1°A2FA2(38.9°A2C),A2andA2theA2characteristicA2rashA2onA2theA2face,A2trunk,A2andA2extremitie
sA2thatA2looksA2likeA2sunburnA2butA2feelsA2likeA2sandpaper.A2CAMRSAA2isA2typicallyA2mani
festedA2byA2skinA2andA2tissueA2infections.A2DiphtheriaA2isA2characterizedA2byA2aA2soreA2thr
oatA2andA2difficultyA2swallowingA2butA2feverA2isA2usuallyA2belowA2102°FA2.A2AirwayA2obstru
ctionA2isA2apparent.A2PertussisA2isA2characterizedA2byA2coughA2andA2coldA2symptomsA2tha
tA2progressA2toA2paroxysmalA2coughingA2spellsA2alongA2withA2copiousA2secretions.
AA2youngA2clientA2arrivesA2atA2theA2clinicA2withA2aA2rashA2onA2theA2trunkA2andA2flexorA2surf
acesA2ofA2theA2extremities.A2TheA2parentA2informsA2theA2nurseA2thatA2theA2rashA2startedA2
aA2dayA2beforeA2onA2theA2exteriorA2surfacesA2ofA2theA2extremities;A22A2daysA2before,A2theA
2childA2hadA2aA2reallyA2badA2rashA2onA2theA2face.A2TheA2healthA2careA2providerA2diagnose
sA2theA2childA2withA2erythemaA2infectiosum.A2TheA2nurseA2tellsA2theA2parentA2thatA2thisA2is
A2alsoA2knownA2as:A2-A2Ans--fifthA2disease.
ErythemaA2infectiosumA2isA2alsoA2knownA2asA2"fifthA2disease."A2ItA2startsA2withA2aA2fever,A2
headache,A2andA2malaise.A2OneA2weekA2later,A2aA2rashA2appearsA2onA2theA2face.A2AA2day
A2later,A2theA2rashA2appearsA2onA2theA2extensorA2surfacesA2ofA2theA2extremities.A2OneA2m
oreA2dayA2later,A2theA2rashA2appearsA2onA2theA2trunkA2andA2flexorA2surfacesA2ofA2theA2extr
emities.A2PityriasisA2roseaA2isA2aA2skinA2rashA2thatA2beginsA2withA2aA2largeA2spotA2onA2theA
2chest,A2abdomenA2orA2backA2thatA2isA2followedA2byA2paaternA2ofA2smallA2lesions.A2ItA2isA2s
elfA2limitingA2andA2canA2beA2treatedA2withA2steroidA2creams.A2RoseaceaA2isA2aA2chronicA2i
nflmmatoryA2skinA2conditionA2thatA2causesA2rednessA2toA2theA2face.A2AnA2enterovirusA2inf
ectionA2canA2manyA2timesA2causeA2theA2sameA2symptomsA2asA2theA2commonA2coldA2orA2it
A2canA2includeA2theA2respiratoryA2system.A2ItA2isA2contagious.
AA2childA2isA2diagnosedA2withA2scarletA2fever.A2HistoryA2revealsA2thatA2theA2childA2hasA2no
A2knownA2drugA2allergies.A2WhenA2preparingA2theA2child'sA2planA2ofA2care,A2theA2nurseA2w
ouldA2anticipateA2administeringA2whichA2agentA2asA2theA2drugA2ofA2choice?A2-A2Ans--
PenicillinA2V
PenicillinA2VA2isA2theA2antibioticA2ofA2choice.A2InA2thoseA2sensitiveA2toA2penicillin,A2erythro
mycinA2mayA2beA2used.A2Trimethoprim-
sulfamethoxazoleA2andA2clarithromycinA2areA2notA2used.
,WhatA2informationA2shouldA2beA2includedA2inA2theA2teachingA2planA2forA2aA2childA2withA2va
ricella?A2-A2Ans--RemindA2theA2childA2notA2toA2scratchA2theA2lesions.
VaricellaA2lesionsA2appearA2firstA2onA2theA2scalp.A2TheyA2speadA2toA2theA2face,A2theA2trun
kA2andA2thenA2toA2theA2extremities.A2ThereA2mayA2beA2variousA2stageA2ofA2theA2lesionsA2pr
esentA2atA2anyA2oneA2time.A2TheA2lesionsA2areA2intenselyA2pruritic.A2TheA2teachingA2planA2
forA2varicellaA2shouldA2includeA2thatA2theA2childA2notA2scratchA2theA2lesions.A2OpeningA2th
eA2lesionsA2givesA2accessA2forA2secondaryA2infectionA2toA2occurA2andA2causesA2acarring.A
2AcetaminophenA2shouldA2beA2administeredA2forA2fever,A2notA2aspirin,A2dueA2toA2theA2linkA
2withA2ReyeA2syndrome.A2TheA2bestA2treatmentA2forA2skinA2discomfortA2isA2aA2coolA2bathA2
withA2soothingA2colloidalA2oatmealA2everyA23A2toA24A2hoursA2forA2theA2firstA2fewA2days.A2W
armA2bathsA2causeA2moreA2itchingA2andA2dryA2theA2skin.
TheA2nurseA2isA2providingA2teachingA2toA2theA2parentsA2ofA2aA2childA2withA2varicella.A2Whi
chA2statementA2indicatesA2thatA2theA2parentsA2haveA2understoodA2theA2instructions?A2-
A2Ans--"WeA2needA2toA2makeA2sureA2thatA2heA2washesA2hisA2handsA2frequently."
A2
TheA2childA2withA2varicellaA2needsA2toA2washA2hisA2handsA2frequentlyA2withA2antibacterialA
2soapA2toA2reduceA2bacterialA2colonization.A2AA2coolA2bathA2withA2soothingA2colloidalA2oat
mealA2mayA2helpA2theA2skinA2discomfort.A2AlcoholA2wouldA2beA2tooA2dryingA2toA2theA2skin.
A2Acetaminophen,A2notA2aspirin,A2shouldA2beA2usedA2toA2reduceA2fever.A2TheA2lesionsA2sh
ouldA2eventuallyA2crustA2over.A2SoftA2crustsA2withA2drainageA2mayA2suggestA2anA2infection
.
TheA2nurseA2isA2obtainingA2aA2healthA2historyA2andA2assessmentA2forA2aA2childA2beingA2ad
mittedA2whoA2isA2suspectedA2ofA2havingA2measles.A2WhatA2signsA2andA2symptomsA2doesA
2theA2nurseA2expectA2toA2findA2duringA2theA2assessment?A2SelectA2allA2thatA2apply.A2-
A2Ans--
MaculopapularA2rashA2thatA2beganA2onA2theA2faceA2andA2hasA2spreadA2toA2theA2restA2ofA2t
heA2body
Fever
UpperA2respiratoryA2infectionA2symptoms
A2
MaculopapularA2rashA2thatA2beganA2onA2theA2faceA2andA2hasA2spreadA2toA2theA2restA2ofA2t
heA2body,A2fever,A2andA2upperA2respiratoryA2infectionA2symptomsA2areA2characteristicA2ofA
2bothA2rubellaA2(GermanA2measles)A2andA2rubeolaA2(measles).A2Clear,A2fluid-
filledA2vesiclesA2areA2characteristicA2ofA2chickenA2poxA2(varicellaA2zoster.A2ErythematousA
2flushingA2isA2commonA2withA2erythemaA2infectiosumA2(fifthA2disease).
AA216-year-
oldA2isA2seenA2inA2theA2emergencyA2departmentA2withA2symptomsA2includingA2aA2highA2fe
ver,A2chills,A2headache,A2nauseaA2andA2vomiting,A2andA2painfulA2joints.A2DuringA2theA2nur
singA2historyA2theA2teenagerA2reportsA2recentlyA2returningA2fromA2aA2tripA2toA2aA2rainA2fore
stA2inA2SouthA2America.A2WhatA2infectiousA2diseaseA2doesA2theA2nurseA2suspectA2theA2cli
entA2hasA2contracted?A2-A2Ans--Malaria
, MalariaA2comesA2fromA2aA2biteA2ofA2AnophelesA2speciesA2ofA2mosquitoA2andA2isA2mostlyA2
foundA2inA2Africa,A2AsiaA2andA2SouthA2America.A2AnaplasmosisA2comesA2fromA2aA2tickA2a
ndA2occursA2mostlyA2inA2theA2upperA2MidwestA2andA2northeastA2UnitedA2States.A2WestA2Ni
leA2diseaseA2comesA2fromA2aA2mosquitoA2andA2isA2foundA2throughoutA2UnitedA2States,A2wi
thA2higherA2ratesA2foundA2inA2GreatA2PlainsA2andA2mountainA2regions.A2RabiesA2isA2aA2vira
lA2infectionA2thatA2comesA2fromA2closeA2contactA2withA2theA2salivaA2ofA2aA2rabidA2animal.
TheA2parentsA2ofA2aA23-year-
oldA2childA2reportA2heA2wasA2exposedA2toA2pertussisA22A2daysA2ago.A2TheyA2areA2concern
edA2andA2askA2theA2nurseA2howA2longA2itA2willA2takeA2untilA2heA2becomesA2illA2ifA2heA2indee
dA2contractedA2theA2infection.A2WhatA2responseA2byA2theA2nurseA2isA2indicated?A2-
A2Ans--"TheA2signsA2ofA2diseaseA2willA2beA2notedA2inA21A2toA23A2weeks."
PertussisA2isA2anA2acuteA2respiratoryA2disorderA2characterizedA2byA2paroxysmalA2coughA2
(whoopingA2cough)A2andA2copiousA2secretions.A2TheA2diseaseA2isA2causedA2byA2Bordetell
aA2pertussis.A2TheA2incubationA2periodA2isA26A2toA221A2days,A2usuallyA27A2toA210A2days.
TheA2rashA2inA2roseolaA2isA2pruritic.A2WhichA2measureA2wouldA2youA2teachA2theA2parentA2t
oA2provideA2comfort?A2-A2Ans--
ApplyA2coolA2compressesA2toA2theA2skinA2toA2stopA2localA2itching.
RashesA2canA2beA2uncomfortableA2andA2irritating.A2ParentsA2needA2toA2beA2educatedA2on
A2waysA2toA2relieveA2discomfortA2andA2toA2protectA2andA2maintainA2skinA2integrity.A2CoolA2
compressesA2orA2coolA2bathsA2willA2helpA2toA2relieveA2theA2itchingA2associatedA2withA2theA
2rash.A2AntipureticsA2mayA2beA2necessaryA2alsoA2toA2helpA2withA2itching.A2ToA2protectA2th
eA2skinA2theA2childA2shouldA2beA2instructedA2notA2toA2scratchA2theA2skinA2toA2alleviateA2itch
ing.A2TheA2child'sA2fingernailsA2shouldA2beA2keptA2short.A2KeepingA2theA2childA2dressedA2
warmlyA2willA2notA2bringA2outA2theA2rashA2anyA2sooner.A2BeingA2warmA2will,A2however,A2ca
useA2anA2increasedA2temperatureA2andA2intensifyA2theA2itching.A2AspirinA2shouldA2notA2be
A2usedA2inA2childrenA2asA2anA2antipyretic.A2ThereA2isA2anA2increasedA2riskA2ofA2developing
A2Reye'sA2syndrome.
AA2nurseA2practitionerA2suspectsA2thatA2aA2childA2hasA2scarletA2feverA2basedA2onA2whichA2
assessmentA2finding?A2-A2Ans--Red,A2strawberryA2tongue
TheA2characteristicA2assessmentA2findingA2thatA2distinguishesA2scarletA2feverA2fromA2othe
rA2disordersA2isA2theA2appearanceA2ofA2theA2red,A2strawberryA2tongue.A2SoreA2throat,A2anA
2enanthematousA2andA2exanthematousA2rash,A2andA2whiteA2exudateA2onA2theA2tonsilsA2ar
eA2alsoA2seenA2withA2scarletA2fever,A2butA2itA2isA2theA2strawberryA2tongueA2thatA2helpsA2toA
2confirmA2theA2diagnosis.
AA29-month-
oldA2childA2hasA2beenA2admittedA2toA2ruleA2outA2sepsis.A2WhichA2findingA2offersA2theA2mos
tA2supportA2toA2theA2presenceA2ofA2thisA2disorder?A2-A2Ans--
TheA2childA2hasA2hadA28A2ouncesA2ofA2formulaA2inA2theA2pastA224A2hours.
A2
