Difficulty: Medium
Average Score: 62%
Simulated
Passage / Scenario
A nurse is planning care for a child who has varicella.Which of the following interventions should the nurse plan to include?
Correct answer
D
Rationale
The correct answer is D: Initiate airborne precautions. This is because the presence of Koplik spots in the oral cavity is a classic sign of measles, which is highly contagious through airborne droplets. Administering aspirin for fever is contraindicated in children with viral illnesses like measles due to the risk of Reye's syndrome. Providing a warm blanket is not directly related to managing measles. Initiation of airborne precautions is essential to prevent the spread of the measles virus to other individuals.