Pediatrics Question #35
What should the nurse do first when a parent brings a child into the emergency department with
itchy, vesicular lesions covering the child’s body?
- Immediately apply a mask to the child.
- Inquire about the child’s vaccine history.
- Give diphenhydramine and trim fingernails.
- Place the child in a negative pressure flow room.
The correct answer is A. The child most likely has varicella zoster (chickenpox) which is an airborne virus. Applying the mask to the child will protect those who come in contact with the child. The vaccine history is part of the history and physical and is important but is not the priority nursing intervention. The child may be given diphenhydramine in triage once the health care provider has made a diagnosis. The nails may be trimmed to keep the child from scratching the lesions but is not the priority nursing intervention. The child will be placed in a negative pressure flow room as the likely diagnosis is varicella zoster. This will be in the plan of care but is not the priority nursing intervention