NCLEX- Pediatrics Infectious & communicable
diseases
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,The school nurse prepares 1.Siblings may also need treatment.
a list of home care 4.Grooming items such as combs and brushes should
instructions for the parents not be shared.
of school children who 5.Launder all the bedding and clothing in hot water
have been diagnosed with and dry on high heat.
pediculosis capitis (head 6.Vacuum floors, play areas, and furniture to remove
lice). Which should be
any hairs that may carry live nits.
included in the list? Select
all that apply. Bedding and linens should be washed with hot water
and dried on a hot setting. Thorough home cleaning is
1.Siblings may also need necessary to remove any remaining lice or nits.
treatment. Siblings may need to be treated and combs and
2.Use antilice sprays on all brushes may need to be discarded or soaked in
bedding and furniture. boiling water for 10 minutes. Antilice sprays are
3.Use a pediculicide unnecessary. Additionally, they should never be used
shampoo and repeat on bedding, furniture, or a child. The pediculicide
treatment in 14 days. product needs to be used as prescribed, and the
4.Grooming items such as parents are instructed to follow package instructions
combs and brushes for timing the application and for contraindications for
should not be shared. their use in children.
5.Launder all the bedding
and clothing in hot water
and dry on high heat.
6.Vacuum floors, play
areas, and furniture to
remove any hairs that may
carry live nits.
,The nurse is reinforcing 1."I understand that I need to leave the scabicide on
home-care instructions to for 4 hours before washing it off."
the parents of a 3-year-
old child with scabies. The treatment for scabies involves applying a
Which statement by a scabicide to cool, dry skin at least 30 minutes after
parent indicates the need bathing, which needs to be left on the skin for 8 to 14
for further teaching? hours, then washed off. The other statements are
correct.
1."I understand that I need
to leave the scabicide on
for 4 hours before
washing it off."
2."I will need to seal up all
my child's nonwashable
toys in a plastic bag for at
least 4 days."
3."I realize that everyone
who has come in contact
with my child will need to
be treated for scabies."
4."I know I need to wash
all the clothing and
bedding in hot water with
detergent and dry in a hot
dryer."
, A child with rubeola 2.Contact
(measles) is being 3.Airborne
admitted to the hospital.
When preparing for the Rubeola is transmitted via airborne particles or direct
admission of the child, contact with infectious droplets. Airborne precautions
which precautions should and contact precautions are required; a mask and
be implemented? Select gloves are worn by those who come in contact with
all that apply. the child. Gowns and gloves are not indicated. Articles
that are contaminated should be bagged and labeled.
1.Enteric Options 1, 4, and 5 are not indicated for rubeola
2.Contact
3.Airborne
4.Protective
5.Neutropenic
The mother of a toddler 4.Respiratory disease caused by a virus involving the
with mumps asks the nurse parotid gland
what she needs to watch
for in her child with this Mumps is caused by a paramyxovirus that causes
disease. The nurse bases swelling from the parotid gland, causing jaw and ear
the response on the pain. It is transmitted via direct contact or droplets
understanding that mumps spread from an infected person, salive from infected
is which type of saliva, and possibly by contact with urine. Airborne
communicable disease? and contact precautions are indicated during the
period of communicability. Options 1, 2, and 3 are
1.Skin rash caused by a incorrect.
virus
2.Skin rash caused by a
bacteria
3.Respiratory disease
caused by virus involving
the lymph nodes
4.Respiratory disease
caused by a virus
involving the parotid
gland