Page 1176 - Saunders Comprehensive Review For NCLEX-RN

water to bleach).

6. Fever, malaise, fatigue, weight loss, vomiting, and diarrhea
are expected to occur and do not require special intervention.
411. The nurse provides home care instructions to the parents of a child
hospitalized with pertussis who is in the convalescent stage and is being
prepared for discharge. Which statement by a parent indicates a need for
further instruction?
1. “We need to encourage our child to drink fluids.”
2. “Coughing spells may be triggered by dust or smoke.”
3. “Vomiting may occur when our child has coughing episodes.”
4. “We need to maintain droplet precautions and a quiet
environment for at least 2 weeks.”
412. The nurse caring for a child diagnosed with rubeola (measles) notes that the
pediatrician has documented the presence of Koplik’s spots. On the basis of
this documentation, which observation is expected?
1. Pinpoint petechiae noted on both legs
2. Whitish vesicles located across the chest
3. Petechiae spots that are reddish and pinpoint on the soft palate
4. Small, blue-white spots with a red base found on the buccal
mucosa
413. A mother of a child with mumps calls the health care clinic to tell the nurse
that the child has been lethargic and vomiting. What instruction should the
nurse give to the mother?
1. To continue to monitor the child
2. That lethargy and vomiting are normal with mumps
3. To bring the child to the clinic to be seen by the pediatrician
4. That, as long as there is no fever, there is nothing to be concerned
about
414. The nurse is assessing a child admitted with a diagnosis of rheumatic fever.
Which significant question should the nurse ask the child’s parent during the
assessment?
1. “Has your child had difficulty urinating?”
2. “Has your child been exposed to anyone with chickenpox?”
3. “Has any family member had a sore throat within the past few
weeks?”
4. “Has any family member had a gastrointestinal disorder in the
past few weeks?”
415. The nurse is caring for a child diagnosed with erythemia infectiosum (fifth
disease). Which clinical manifestation should the nurse expect to note in the
child?
1. An intense fiery red edematous rash on the cheeks
2. Pinkish-rose maculopapular rash on the face, neck, and scalp
3. Reddish and pinpoint petechiae spots found on the soft palate
4. Small bluish-white spots with a red base found on the buccal
mucosa

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