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Varicella Case Study (Peds) (30 min)

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A 7-year-old child has come to the hospital for a rash for 3 days. Upon inspection of the rash the nurse notes small itchy blisters across the child’s chest, arms, abdomen, and back, some of which have crusts on them and some that are wet and oozing. The child is itching the rash and looks uncomfortable. The child has a temperature of 101°F, all other vital signs are within normal limits.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What is the most important question the nurse needs to ask the parents at this time?

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The mother reports she feels that vaccines are poison and does not want her children to have them.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What kind of preventable disease has this child likely contracted?

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Critical Thinking Check
Bloom's Taxonomy: Comprehension

What kind of precautions does this child need to be placed under?

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The child is miserable but has received Motrin for the fever and pain as well as being started on Acyclovir. The nurse also rubbed calamine lotion on the blisters to help with itching.

Critical Thinking Check
Bloom's Taxonomy: Application

What else could the nurse do to help decrease spreading of the fluid in the blisters?

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