CHAPTER 14/ Infectious and Communicable Conditions^323
- A father of a 4-year-old boy diagnosed with roseola infantum questions you why
the health-care provider didn’t order antibiotics. What is your best response?
a. There is no cure for roseola infantum.
b. Roseola infantum is a viral infection and bacterial is used to treat bacterial infections.
c. Roseola infantum is self-limiting.
d. I’ll mention this to the health-care provider. - A parent is amazed how the health-care provider, who diagnosed her daughter
as having rubeola, predicted that her daughter would develop a rash in a cou-
ple of days. How would you explain this prediction?
a. Rubeola is going around the area.
b. The health-care provider noticed periorbital edema, which precedes the rash by
4 days.
c. The health-care provider noticed a red flat rash in the buccal mucosa of the patient’s
mouth, which appears 2 days before the rash appears on the patient’s face.
d. The health-care provider probably noticed Koplik spots, which appear 2 days
before the rash appears. - A child was rushed to the ED having difficulty breathing with hypotension and
shock after eating a peanut butter and jelly sandwich. The parents ask what
might have gone wrong. What is your best response?
a. The child aspirated the sandwich.
b. The child experienced anaphylaxis as a result of a response by the immune system
to an allergen, which is likely to be peanuts.
c. The child has pneumonia.
d. The child experienced food poisoning. - A parent of a child who is diagnosed with mumps asks if she can send her child
to child care because it seems that his parotid glands are no longer swollen. What
is your best response?
a. Yes, he is no longer contagious.
b. No, not until he is examined by the health-care provider.
c. No, he remains contagious for 9 days after the swelling of the parotid glands
subsides.
d. Yes, as long as no other child at the child-care center is infected. - A new ED nurse wants to call the hospital’s child protection team to investigate
a child who had a red slapped mark on his cheek. His mother brought him in
with a headache and a low-grade fever and he has slight wheezing on inspira-
tion. How would you respond?
a. Ask the nurse if he assessed the child’s trunk for a flat red spotted rash.
b. Tell the nurse to call the police first.
c. Tell the nurse not to leave the child alone with the parent.
d. Tell the nurse to let the health-care provider make that determination.