Page 930 - Saunders Comprehensive Review For NCLEX-RN

should not receive the varicella vaccine.

▪ The Salk (inactivated) vaccine for poliomyelitis may be administered.
▪ Instruct parents to inform the teacher that they should be notified immediately if
a case of a communicable disease occurs in another child at school.

Box 31-3

Protecting the Child from Bleeding

▪ Examine the child for signs and symptoms of bleeding.
▪ Handle the child gently.
▪ Measure abdominal girth; an increase can indicate internal hemorrhage.

▪ Instruct the child to use a soft toothbrush and avoid dental floss.
▪ Provide soft foods that are cool to warm in temperature.
▪ Avoid injections, if possible, to prevent trauma to the skin and bleeding.
▪ Apply firm and gentle pressure to a needle-stick site for at least 10 minutes.
▪ Pad side rails and sharp corners of the bed and furniture.
▪ Discourage the child from engaging in activities involving the use of objects that
can cause injury.
▪ Instruct the child to avoid constrictive or tight clothing.
▪ Use caution when taking the blood pressure to prevent skin injury.
▪ Instruct the child to avoid blowing his or her nose.
▪ Avoid the use of rectal suppositories, enemas, and rectal thermometers.
▪ Examine all body fluids and excrement for the presence of blood.
▪ Count the number of pads or tampons used if the adolescent girl is
menstruating.
▪ Instruct the child about the signs and symptoms of bleeding.
▪ Instruct parents to avoid administering nonsteroidal anti-inflammatory drugs
and products that contain aspirin to the child.

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