Which may be given to high-risk children after exposure to chickenpox to prevent varicella?

Correct Answer: D

Rationale: VCZ immune globulin (VariZIG) is given to high-risk children after exposure to chickenpox to prevent varicella. VariZIG contains antibodies against the varicella-zoster virus, providing passive immunity to the child. This can help reduce the severity of the infection or prevent it altogether in high-risk individuals. Acyclovir (Zovirax) is an antiviral medication used to treat varicella infections but is not typically used for prevention post-exposure. Varicella globulin is not a treatment for varicella. Diphenhydramine hydrochloride (Benadryl) is an antihistamine and is not used for preventing varicella post-exposure.

Correct Answer: A

Rationale: The correct intervention for the nurse to implement when caring for a family of a sudden infant death syndrome (SIDS) infant is to allow parents to say goodbye to their infant (Option A). This is essential for the parents' grieving process and closure. Allowing this time can help them cope with their loss and begin the healing process. Option B is incorrect because ongoing support and follow-up care are crucial for families who have experienced the loss of a child. The nurse should provide resources and referrals for counseling and support groups to help the family navigate their grief. Option C is incorrect as it is the responsibility of the healthcare team to ensure the safe transportation of the parents home from the hospital. This should not be left to chance or arranged by someone not part of the healthcare team. Option D is also incorrect because requesting an autopsy of the deceased infant may be necessary to determine the cause of death and provide closure for the family. It can also help identify any potential genetic or environmental factors that may pose a risk to other children in the family. In an educational context, it is crucial for nurses to understand the sensitive and complex nature of caring for families experiencing the loss of a child. Providing compassionate and holistic care involves supporting families emotionally, physically, and mentally during such a difficult time. By allowing parents to say goodbye, offering ongoing support, ensuring safe transportation, and considering the need for an autopsy, nurses can help families through the grieving process and promote healing.

Correct Answer: A

Rationale: An important nursing action related to the use of tape and/or adhesives on preterm newborns is to avoid using tape and adhesives until the skin is more mature. Preterm newborns have delicate and fragile skin that is more prone to damage and injury. Using tape and adhesives on immature skin can increase the risk of skin tears, irritations, and damage. It is recommended to wait until the skin matures and becomes less delicate before using tape or adhesives on preterm newborns to prevent skin-related complications.

Correct Answer: A

Rationale: RhIG (RhoGAM) is administered to Rh-negative women who deliver an Rh-positive newborn to prevent Rh isoimmunization. Rh isoimmunization can occur when an Rh-negative mother is exposed to Rh-positive fetal blood during childbirth, leading to the production of antibodies against Rh antigen. RhIG works by binding to and destroying any fetal Rh-positive red blood cells that have entered the mother's circulation, preventing her immune system from mounting an immune response and producing antibodies. This helps to protect subsequent pregnancies from complications related to Rh isoimmunization. Therefore, RhIG administration is crucial in preventing sensitization and ensuring the health of future pregnancies in Rh-negative women who deliver an Rh-positive newborn.

Correct Answer: D

Rationale: Early detection and prompt treatment are crucial in preventing the complications of congenital hypothyroidism (CH). All newborns should undergo newborn screening tests, including a test for CH. This screening helps to identify infants with CH early on, allowing for timely interventions such as thyroid hormone replacement therapy. Failure to conduct appropriate screening on newborns can lead to delayed diagnosis and treatment, which can result in significant developmental delays and other complications associated with CH. Therefore, ensuring that appropriate screening is done on newborns is a key nursing consideration in preventing the complications of congenital hypothyroidism.