Pediatrics Question #31

Question

Which instruction(s) is/are appropriate for the nurse to give to the parents of a child with
varicella-zoster virus? (Select all that apply.)

Answers

  1. “Administer acetaminophen to the child for reports of pain and fever.”
    • Rationale:
  2. “After the lesions are crusted over, your child will no longer be infectious.”
    • Rationale:
  3. “Apply topical diphenhydramine to lesions after bathing your child.”
    • Rationale:
  4. “Continue acyclovir 20 mg/kg PO four times a day to fight the virus.”
    • Rationale:
  5. “You should wait 30 days before your child receives the varicella vaccine.”
    • Rationale:

Overview

Explanation

The correct answers are A, B, C, and D. Because aspirin can lead to Reye syndrome, acetaminophen is recommended for use for the reduction of fever and to help decrease pain. Chickenpox is most contagious from 1 to 2 days before the rash appears until all the blisters are dried and crusted. Topical diphenhydramine can decrease the itching but must be used with caution as well. It can be absorbed through the skin. Acyclovir must begin within 24 hours of rash appearance to potentially decrease the incidence of additional lesions and duration of fever. The varicella vaccine is not needed as the child will have immunity after having the disease

Learning Outcomes

Test Taking Tip

Video Rationale