Podcast
Questions and Answers
When evaluating a pediatric patient’s laboratory data, which blood cell component is responsible for seeking out and destroying organisms that might cause disease?
When evaluating a pediatric patient’s laboratory data, which blood cell component is responsible for seeking out and destroying organisms that might cause disease?
- Antibodies
- Antigens
- T lymphocytes (correct)
- Neutrophils
A child presents to the pediatric clinic with a “slapped cheek” facial rash. This rash is typically associated with which virus?
A child presents to the pediatric clinic with a “slapped cheek” facial rash. This rash is typically associated with which virus?
- Varicella
- Roseola
- Fifth disease (correct)
- Epstein-Barr
A nurse is educating parents on influenza. Which statement by the parent indicates a need for further education?
A nurse is educating parents on influenza. Which statement by the parent indicates a need for further education?
- Dehydration is a major complication of the illness.
- The incubation period is 4 to 6 days. (correct)
- School-aged children have the highest infection rate.
- Muscle aches and pains are common.
A 4-month-old infant is brought to the clinic for a second DTaP vaccine. The mother reports a runny nose for 2 days but no fever. Prior to administering the vaccine, which question is most appropriate?
A 4-month-old infant is brought to the clinic for a second DTaP vaccine. The mother reports a runny nose for 2 days but no fever. Prior to administering the vaccine, which question is most appropriate?
What type of room should a nurse assign to a child placed on neutropenic precautions?
What type of room should a nurse assign to a child placed on neutropenic precautions?
A nurse is discussing immunity and how it refers to the body’s ability to develop antibodies against specific bacteria, viruses, and toxins. What statement by the parent requires further instruction?
A nurse is discussing immunity and how it refers to the body’s ability to develop antibodies against specific bacteria, viruses, and toxins. What statement by the parent requires further instruction?
A nurse is providing care within 3 feet of a pediatric patient who is placed on droplet precautions. Which PPE should the nurse don?
A nurse is providing care within 3 feet of a pediatric patient who is placed on droplet precautions. Which PPE should the nurse don?
The nurse is teaching parents how to prevent the spread of infectious disease. Which priority health-promotion strategy should the nurse recommend for all age groups of children?
The nurse is teaching parents how to prevent the spread of infectious disease. Which priority health-promotion strategy should the nurse recommend for all age groups of children?
A 12-year-old child presents 1 hour after stepping on a rusty nail. What is the nurse’s immediate intervention?
A 12-year-old child presents 1 hour after stepping on a rusty nail. What is the nurse’s immediate intervention?
A parent asks the nurse how severe childhood immunization reactions are reported. What is the nurse’s best response?
A parent asks the nurse how severe childhood immunization reactions are reported. What is the nurse’s best response?
A mother refuses to have her child immunized with the MMR vaccine because she believes that letting her infant get these diseases will help him fight off other diseases later in life. Which is an appropriate response by the nurse?
A mother refuses to have her child immunized with the MMR vaccine because she believes that letting her infant get these diseases will help him fight off other diseases later in life. Which is an appropriate response by the nurse?
A 4-month-old child presents for a routine well-child checkup with vaccinations. The mother expresses concern that her child was exposed to influenza. Which is the appropriate action for the nurse to take?
A 4-month-old child presents for a routine well-child checkup with vaccinations. The mother expresses concern that her child was exposed to influenza. Which is the appropriate action for the nurse to take?
A parent reports that her 5-year-old child, who has had all the recommended immunizations, had a mild fever 1 week ago and now has bright red cheeks and a lacy red maculopapular rash on the trunk and arms. Which diagnosis does the nurse anticipate based on the current data?
A parent reports that her 5-year-old child, who has had all the recommended immunizations, had a mild fever 1 week ago and now has bright red cheeks and a lacy red maculopapular rash on the trunk and arms. Which diagnosis does the nurse anticipate based on the current data?
The nurse is providing care to a child who is diagnosed with Lyme disease. The mother wants to know how to protect her other children from contracting this disease from the infected child. Which should the nurse include in the teaching session regarding the transmission of this disease process?
The nurse is providing care to a child who is diagnosed with Lyme disease. The mother wants to know how to protect her other children from contracting this disease from the infected child. Which should the nurse include in the teaching session regarding the transmission of this disease process?
Which is the priority nursing action when it is suspected that an infectious agent has been used as a weapon by terrorists?
Which is the priority nursing action when it is suspected that an infectious agent has been used as a weapon by terrorists?
Which nursing action is most appropriate to decrease the risk of transmitting viral infections by patients and family members at a local clinic?
Which nursing action is most appropriate to decrease the risk of transmitting viral infections by patients and family members at a local clinic?
A nurse is educating parents about the importance of preventing the spread of influenza and recommends the annual influenza vaccine for their 9-month-old infant. Which statement by the parents needs further education?
A nurse is educating parents about the importance of preventing the spread of influenza and recommends the annual influenza vaccine for their 9-month-old infant. Which statement by the parents needs further education?
A nurse is educating parents about varicella infections. What statement by the parent needs further education?
A nurse is educating parents about varicella infections. What statement by the parent needs further education?
A child presents with drooling, dysphagia, and in a tripod position in an effort to maximize respirations. What action by the nurse needs further intervention?
A child presents with drooling, dysphagia, and in a tripod position in an effort to maximize respirations. What action by the nurse needs further intervention?
A child presents in the emergency department (ED) after experiencing flu-like symptoms for 24 hours. The health-care provider diagnoses the child with swine influenza. Which assessment data collected by the nurse support this diagnosis? (Select all that apply.)
A child presents in the emergency department (ED) after experiencing flu-like symptoms for 24 hours. The health-care provider diagnoses the child with swine influenza. Which assessment data collected by the nurse support this diagnosis? (Select all that apply.)
The mother of an immunocompromised child expresses concern that her child will “catch” a disease from the scheduled vaccination. Which vaccines can be administered to this child because she carries no risk for acquiring the infection? (Select all that apply.)
The mother of an immunocompromised child expresses concern that her child will “catch” a disease from the scheduled vaccination. Which vaccines can be administered to this child because she carries no risk for acquiring the infection? (Select all that apply.)
An adolescent patient has been diagnosed with Epstein-Barr virus. Which of the following should the nurse include as appropriate teachings pertaining to this virus? (Select all that apply.)
An adolescent patient has been diagnosed with Epstein-Barr virus. Which of the following should the nurse include as appropriate teachings pertaining to this virus? (Select all that apply.)
A nurse is providing education on noncommunicable preventable vector-borne diseases. Which of the following topics should the nurse include in the teaching? (Select all that apply.)
A nurse is providing education on noncommunicable preventable vector-borne diseases. Which of the following topics should the nurse include in the teaching? (Select all that apply.)
A parent of a hospitalized child with a communicable illness expresses concern that the child is behind on immunizations due to the illness. What is the nurse’s best response? (Select all that apply.)
A parent of a hospitalized child with a communicable illness expresses concern that the child is behind on immunizations due to the illness. What is the nurse’s best response? (Select all that apply.)
Which of the following communicable diseases are considered mandatory to report? (Select all that apply.)
Which of the following communicable diseases are considered mandatory to report? (Select all that apply.)
Flashcards
Neutrophils
Neutrophils
Blood cell component that targets and destroys disease-causing organisms.
Fifth Disease
Fifth Disease
A viral illness characterized by a distinct “slapped cheek” rash on the face.
Influenza Incubation Period
Influenza Incubation Period
The incubation period for influenza is typically 1 to 4 days.
DTaP Vaccine Assessment
DTaP Vaccine Assessment
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Positive-Pressure Room
Positive-Pressure Room
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Flu Vaccine Immunity
Flu Vaccine Immunity
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Droplet Precautions PPE
Droplet Precautions PPE
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Hand Hygiene
Hand Hygiene
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Rusty Nail Wound Care
Rusty Nail Wound Care
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Vaccine reaction reporting
Vaccine reaction reporting
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MMR Vaccine Education
MMR Vaccine Education
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Vaccination and Exposure
Vaccination and Exposure
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Fifth disease (erythema infectiosum)
Fifth disease (erythema infectiosum)
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Lyme Disease Transmission
Lyme Disease Transmission
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Infectious Agent Response
Infectious Agent Response
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Decrease Viral Risk
Decrease Viral Risk
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Flu vaccine fact
Flu vaccine fact
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Varicella and Aspirin
Varicella and Aspirin
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Emergency Assessment
Emergency Assessment
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Swine Flu
Swine Flu
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Vaccine for Immunocompromised Child
Vaccine for Immunocompromised Child
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Epstein-Barr teaching
Epstein-Barr teaching
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Noncommunicable vector-borne diseases
Noncommunicable vector-borne diseases
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Vaccines and answers
Vaccines and answers
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Reportable diseases
Reportable diseases
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Study Notes
- These study notes cover key concepts related to pediatric infectious diseases, immunizations, and related nursing interventions.
Blood Cell Components and Immunity
- Neutrophils are the blood cell component that seeks out and destroys organisms that may cause disease.
- Immunity refers to the body’s ability to develop antibodies against specific bacteria, viruses, and toxins.
Common Childhood Viral Infections
- A "slapped cheek" facial rash is associated with Fifth disease.
- School-aged children have the highest rate of influenza infection.
- Dehydration is a major complication of influenza.
- Muscle aches and pains are common symptoms of influenza.
- The incubation period for influenza is 1 to 4 days, not 4 to 6 days.
- Red cheeks and a lacy red maculopapular rash on the trunk and arms are indicative of Fifth disease (erythema infectiosum).
- Severe complications from varicella are rare in healthy people
- Once someone gets primary varicella, immunity is for life
- Avoid aspirin for the discomfort of varicella, Tylenol is okay.
Immunizations
- Before administering a DTaP vaccine, ask the parent if the baby had any reaction following the first DTaP.
- Vaccines often require multiple doses for full immunity.
- Some vaccines provide lifelong immunity.
- The flu vaccine does not provide lifelong immunity and requires annual administration.
- Severe reactions to vaccines are reported to the Vaccine Adverse Event Reporting System (VAERS).
- Explain the potential complications of measles, mumps, and rubella infections when a parent declines the MMR vaccine.
- Give the vaccines as scheduled even if the child was exposed to influenza.
Infection Control and Prevention
- A child on neutropenic precautions should be assigned to a private room.
- A child placed on droplet precautions requires the nurse to wear a mask when within 3 feet of the patient.
- The priority health-promotion strategy to prevent the spread of infectious disease is performing hand hygiene.
- Decreasing environmental exposure to pathogens helps prevent the spread of infectious diseases.
- Sanitizing toys, telephones, and doorknobs helps to decrease the risk of transmitting viral infections.
Tetanus
- Cleanse the wound immediately after a child steps on a rusty nail.
- Evaluate previous immunizations before administering tetanus.
- In the event of a puncture wound, evaluate the patient for lockjaw as a symptom of tetanus.
Vector-Borne Diseases
- Lyme disease is transmitted from person to insects.
Bioterrorism
- When an infectious agent is suspected as a terrorist weapon, initiate airborne and contact precautions.
Influenza Vaccine
- It takes about 2 weeks to produce antibodies after getting the influenza vaccine.
- Some people experience aches and pains after the influenza injection.
- It is a misconception that the baby will get the flu from the vaccine.
- People with egg allergies may experience a reaction to the influenza vaccine.
Nursing Interventions
- Avoid throat assessment for a child presenting with drooling, dysphagia, and in a tripod position to maximize respirations; prioritize airway support and rapid antibiotics.
Swine Influenza Symptoms
- Fever
- Malaise
- Rhinorrhea
Vaccines for Immunocompromised Children
- Toxoid vaccines
- Killed virus vaccines
- Immunoglobulins
Epstein-Barr Virus Teaching Points
- Rest
- Fluids
- Avoid contact sports
- Oral care
- Personal hygiene
Noncommunicable Preventable Vector-Borne Diseases
- Rocky Mountain spotted fever
- Lyme disease
- STARI (Southern Tick-Associated Rash Illness)
Immunizations for Hospitalized Children
- Provide information about each immunization that the child will need.
- Schedule a follow-up appointment to discuss the vaccines needed with the pediatrician.
- The pediatrician will implement a catch-up schedule.
Mandatory Reportable Communicable Diseases
- Gonorrhea
- Tetanus
- Lyme disease
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