Page 1161 - Saunders Comprehensive Review For NCLEX-RN

(red strawberry tongue).
6. Tonsils are reddened, edematous, and covered with
exudate.
7. Pharynx is edematous and beefy red.
C. Interventions

1. Institute contact and airborne (droplet)

precautions until 24 hours after initiation of
antibiotics.
2. Provide supportive therapy.
3. Provide bed rest.
4. Encourage fluid intake.
XIII. Erythema Infectiosum (Fifth Disease)
A. Description
1. Agent: Human parvovirus B19
2. Incubation period: 4 to 14 days; may be 20 days
3. Communicable period: Uncertain but before the onset
of symptoms in most children
4. Source: Infected person

5. Transmission: Unknown; possibly respiratory

secretions and blood
B. Assessment
1. Before rash: Asymptomatic or mild fever, malaise,
headache, runny nose
2. Stages of rash
a. Erythema of the face (slapped-

cheek appearance) develops and
disappears by 1 to 4 days (Fig. 40-7).
b. About 1 day after the rash appears on
the face, maculopapular red spots
appear, symmetrically distributed on
the extremities; the rash progresses
from proximal to distal surfaces and
may last a week or more.
c. The rash subsides but may reappear if
the skin becomes irritated by the sun,
heat, cold, exercise, or friction.
C. Interventions
1. Child is not usually hospitalized.

2. Pregnant women should avoid the infected

individual.
3. Provide supportive care.
4. Administer antipyretics, analgesics, and anti-
inflammatory medications as prescribed.

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