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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?

  • 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?

  • 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?

  • 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?

<p>Did your baby have any reaction following the first DTaP? (D)</p> Signup and view all the answers

What type of room should a nurse assign to a child placed on neutropenic precautions?

<p>Positive-pressure room (A)</p> Signup and view all the answers

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?

<p>The flu vaccine provides lifelong immunity. (D)</p> Signup and view all the answers

A nurse is providing care within 3 feet of a pediatric patient who is placed on droplet precautions. Which PPE should the nurse don?

<p>Mask (D)</p> Signup and view all the answers

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?

<p>Performing hand hygiene (D)</p> Signup and view all the answers

A 12-year-old child presents 1 hour after stepping on a rusty nail. What is the nurse’s immediate intervention?

<p>Cleanse the wound. (C)</p> Signup and view all the answers

A parent asks the nurse how severe childhood immunization reactions are reported. What is the nurse’s best response?

<p>Severe reactions are reported to the Vaccine Adverse Event Reporting System (VAERS). (D)</p> Signup and view all the answers

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?

<p>Explaining the potential complications of measles, mumps, and rubella infections (C)</p> Signup and view all the answers

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?

<p>Give the vaccines as scheduled. (D)</p> Signup and view all the answers

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?

<p>Fifth disease (erythema infectiosum) (A)</p> Signup and view all the answers

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?

<p>Animal to person (B)</p> Signup and view all the answers

Which is the priority nursing action when it is suspected that an infectious agent has been used as a weapon by terrorists?

<p>Initiating airborne and contact precautions (A)</p> Signup and view all the answers

Which nursing action is most appropriate to decrease the risk of transmitting viral infections by patients and family members at a local clinic?

<p>Sanitizing toys, telephones, and doorknobs to kill pathogens (B)</p> Signup and view all the answers

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?

<p>I am afraid my baby will get the flu from the vaccine. (D)</p> Signup and view all the answers

A nurse is educating parents about varicella infections. What statement by the parent needs further education?

<p>I can give my child aspirin for the discomfort of the varicella infection. (B)</p> Signup and view all the answers

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?

<p>Throat assessment (D)</p> Signup and view all the answers

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.)

<p>Fever (A), Malaise (C), Rhinorrhea (E)</p> Signup and view all the answers

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.)

<p>Killed virus vaccine (A), Immunoglobulins (C), Toxoid (D)</p> Signup and view all the answers

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.)

<p>Avoid contact sports (C), Rest (D), Fluids (E)</p> Signup and view all the answers

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.)

<p>STARI (B), Lyme disease (C), Rocky Mountain spotted fever (D)</p> Signup and view all the answers

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.)

<p>We can provide information about each immunization that your child will need. (C), We can schedule a follow-up appointment after discharge so you can discuss with your pediatrician the vaccines needed. (D), The pediatrician will implement a catch-up schedule. (E)</p> Signup and view all the answers

Which of the following communicable diseases are considered mandatory to report? (Select all that apply.)

<p>Gonorrhea (B), Lyme disease (C), Tetanus (E)</p> Signup and view all the answers

Flashcards

Neutrophils

Blood cell component that targets and destroys disease-causing organisms.

Fifth Disease

A viral illness characterized by a distinct “slapped cheek” rash on the face.

Influenza Incubation Period

The incubation period for influenza is typically 1 to 4 days.

DTaP Vaccine Assessment

Assess for any reactions following the first DTaP vaccine.

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Positive-Pressure Room

A room with specialized ventilation to protect immunocompromised patients.

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Flu Vaccine Immunity

The flu vaccine is not guaranteed to provide lifelong immunity due to virus mutation.

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Droplet Precautions PPE

A mask should be worn when caring for a patient within 3 feet who is placed on droplet precautions.

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Hand Hygiene

Essential for preventing the spread of infectious diseases.

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Rusty Nail Wound Care

The priority is to cleanse the wound thoroughly.

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Vaccine reaction reporting

Severe reactions should be reported to VAERS.

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MMR Vaccine Education

Explaining the potential complications of measles, mumps, and rubella infections

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Vaccination and Exposure

Give the vaccines as scheduled.

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Fifth disease (erythema infectiosum)

A viral illness characterized by bright red cheeks and a lacy red rash.

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Lyme Disease Transmission

Transmitted through the bite of infected ticks.

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Infectious Agent Response

Ensuring proper precautions.

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Decrease Viral Risk

Sanitizing to kill pathogens.

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Flu vaccine fact

The flu vaccine cannot give you the flu.

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Varicella and Aspirin

Do not give aspirin for discomfort.

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Emergency Assessment

Avoid any type of throat assessment.

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Swine Flu

Fever, Malaise, Rhinorrhea.

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Vaccine for Immunocompromised Child

The only vaccine that can be administrated is killed virus vaccine and Toxoid.

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Epstein-Barr teaching

Rest, Fluids, no contact sports, oral care, personal hygiene.

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Noncommunicable vector-borne diseases

Rocky Mountain spotted fever, Lyme disease, STARI.

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Vaccines and answers

“We can provide information about each immunization that your child will need” “We can schedule a follow-up appointment after discharge so you can discuss with your pediatrician the vaccines needed.” “The pediatrician will implement a catch-up schedule.”

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Reportable diseases

Lyme disease, Gonorrhea, Tetanus

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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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