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Outline
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.
What is the most important question the nurse needs to ask the parents at this time?
- Is the child up-to-date on all vaccines? Have they received their second dose of MMR?
The mother reports she feels that vaccines are poison and does not want her children to have them.
What kind of preventable disease has this child likely contracted?
- Varicella (Chicken pox)
What kind of precautions does this child need to be placed under?
- Airborne precautions, this includes an N-95 mask and negative pressure room.
- Note – any staff who have NOT been vaccinated or who are pregnant should avoid caring for this patient if at all possible
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.
What else could the nurse do to help decrease spreading of the fluid in the blisters?
- Cut the patients nails and give the child activities to do like coloring to distract the patient and give their hands something to do
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