Chapter 33 Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternal-Child Patient - Leifer Maternity and Pediatric Nursing

Chapter 33 Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternal-Child Patient - Leifer Maternity and Pediatric Nursing

1. Which classification of medication would make a child most susceptible to an opportunistic infection? a. Anticonvulsant b. Beta-adrenergic agent c. Antibiotic d. Corticosteroid ANS: D Steroids are immunosuppressive drugs that make the child very susceptible to opportunistic infections. DIF: Cognitive Level: Knowledge REF: p. 742 OBJ: 3 TOP: Effect of Steroids KEY: Nursing Process Step: Data Collection MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 2. An 8-year-old child asks the nurse how she got the antibodies that kept her from getting whooping cough. What is the nurse’s best explanation? a. “You received borrowed antibodies from another person who had whooping cough.” b. “You were given a tiny case of whooping cough and then you made your own antibodies.” c. “An immunization strengthened antibodies you were born with.” d. “You received only temporary borrowed antibodies and you need to have another shot every 5 years.” ANS: B Vaccines contain live weakened or dead organisms not strong enough to cause disease but they stimulate the body to develop an immune reaction and antibodies. This is active acquired immunity. DIF: Cognitive Level: Comprehension REF: p. 741|Table 32-1 OBJ: 7 TOP: Vaccines KEY: Nursing Process Step: Data Collection MSC: NCLEX: Physiological Integrity: Physiological Adaptation 3. How would the nurse document a rash that has erythematous, circular raised lesions? a. Macular b. Papular c. Vesicular d. Pustular ANS: B A papule is a circular, reddened elevated area on the skin. DIF: Cognitive Level: Knowledge REF: p. 746 OBJ: 2 TOP: Rashes KEY: Nursing Process Step: Data Collection