NCLEX RN Practice Question # 585

NCLEX Examination.

Practice Question # 585.


 

Nclex

CHICKENPOX (VARICELLA)

Description

  • Agent: Varicella-zoster virus
  • Incubation period: 13 to 17 days
  • Communicable period: From 1 to 2 days before the onset of the rash to 6 days after the first crop of vesicles, when crusts have formed
  • Source: Respiratory tract secretions of infected person; skin lesions
  • Transmission: Direct contact, droplet (airborne) spread, and contaminated objects

Assessment

  • Slight fever, malaise, and anorexia are followed by a macular rash that first appears on the trunk and scalp and moves to the face and extremities.
  • Lesions become pustules, begin to dry, and develop a crust.
  • Lesions may appear on the mucous membranes of the mouth, the genital area, and the rectal area.

Interventions

  • In the hospital, ensure strict isolation (contact and droplet precautions).
  • At home, isolate the infected child until the vesicles have dried.
  • Supportive care

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