NCLEX RN Practice Question # 585

NCLEX Examination.

Practice Question # 585.

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