Pediatrics Question #32
Which intervention(s) should the nurse include in the plan of care for a child admitted with
measles? (Select all that apply.)
- Administer vitamin C supplements for measles-induced vitamin deficiency.
- Apply calamine lotion to lesions to reduce itching and irritation.
- Encourage susceptible family members to receive the measles vaccine.
- Keep airway management supplies at the bedside at all times.
- Ensure that the child is placed in a negative-pressure isolation room.
The correct answers are C and E. Measles is an infectious disease caused by a virus. It is contagious and family members who are not already immunized should receive the measles vaccine. Measles are transmitted via airborne droplet nuclei and would require that a negative pressure isolation room be a part of the plan of care. While vitamin A deficiency has been reported to have caused severe measles in children in developing countries, there is no link with vitamin C deficiency. Itching is not a normal sign of the measles. Calamine lotion would not be needed in this plan of care. Airway management would only be an issue if the measles progressed into further complications. Uncomplicated measles does not require airway management supplies at the bedside.
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