Silvestri, 3/e, ISBN 1-1460-0052-6Chapter 038 (edited file)—"Communicable Diseases and Acquired Immunodeficiency Syndrome"10/14/08, Page 3 of 10, 0 Figure(s), 0 Table(s), 7 Box(es)
possibly by contact with urine. Respiratory precautions are indicated during the period of communicability. Options 1, 2, and 4 are incorrect.Test-Taking Strategy: Use the process of elimination. Options 1 and 2 can be eliminated first because they are similar. From the remaining options, select option 3, because it is the umbrella(global option), and addresses communicability. Also, the time frame indicated in option 4seems rather lengthy. Review the infectious period related to mumps if you had difficulty withthis question.Level of Cognitive Ability: ApplicationClient Needs: Safe, Effective Care EnvironmentIntegrated Process: Teaching/LearningContent Area: Child HealthReference: Price, D., & Gwin, J. (2005).
Thompson’s pediatric nursing
(9th ed.). Philadelphia:W.B. Saunders, p. 255.Wong, D., & Hockenberry, M. (2003).
Nursing care of infants and children
(7th ed.). St. Louis:Mosby, p. 657.5. The mother brings her 6-year-old child to the clinic because the child has developed a rash onthe trunk and on the scalp. The mother reports that the child has had a low-grade fever, has notfelt like eating, and has been generally tired. The child is diagnosed with chickenpox, and themother inquires about the communicable period associated with chickenpox. The nurse plans to base the response on which of the following?1. The communicable period is unknown.2. The communicable period is 1 to 2 days before the onset of the rash to 6 days after the onsetand crusting of lesions.3. The communicable period is 10 days before the onset of symptoms to 15 days after the rashappears.4. The communicable period ranges from 2 weeks or less up to several months.Answer: 2Rationale: The communicable period for chickenpox is 1 to 2 days before the onset of the rashto 6 days after the onset and crusting of lesions. In roseola, the communicable period isunknown. Option 3 describes rubella. Option 4 describes diphtheria.Test-Taking Strategy: Use the process of elimination. Option 1 can be easily eliminated first.Eliminate options 3 and 4 next because the time frames in these two options seem rather lengthyand are similar. If you had difficulty with this question, review the communicable period for chickenpox.Level of Cognitive Ability: ApplicationClient Needs: Safe, Effective Care EnvironmentIntegrated Process: Teaching/LearningContent Area: Child HealthReference: Price, D., & Gwin, J. (2005).
Thompson’s pediatric nursing
(9th ed.). Philadelphia:W.B. Saunders, p. 250.6. The nurse reinforces 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 the parents indicates a need for further instructions?