Pediatric Nursing Demystified

Nursing alert The patient may have no symptoms or a range of symptoms.

Test Results

Stool sample: Presence of the virus

Serum: Elevated antibodies

Nursing alert Diagnosis is based on symptoms and history and by ruling out

other disorders.

Treatment

No treatment except for symptomatic treatment

Nursing Intervention

Place the child on droplet and contact isolation.

Only those who have received the IPV vaccination are permitted to con-

tact the patient.

Monitor for skin breakdown.

Monitor for demineralization.

Monitor for pneumonia.

Apply high-top sneakers to the patient to prevent contractures.

Perform range-of-motion exercise.

Report the diagnoses to local health officials according to policy.

Explain the disorder and treatment to the family.

Roseola Infantum

What Went Wrong?

Roseola infantum is a viral infection caused by the human herpes virus 6

and is suspected of being transmitted via oral viral shedding. Oral viral

shedding is the process by which the virus can travel along the patient’s

nerves to the skin surface where the virus is transferred by contact with the

skin. The incubation period is between 5 and 15 days before the symptoms

appear.

Signs and Symptoms

Rash beginning on the trunk and spreading to the extremities and face

that resolves by the third day.

Sudden fever between 103°F and 106°F that resolves within 4 days.

Test Results

No tests

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CHAPTER 14/ Infectious and Communicable Conditions^315