Nclex Questions Management of Care

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Nclex Questions Management of Care Questions

Extract:

Question 1 of 5

A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child's scratching. Which of the following advisory comments should be given?

A. The history and presentation might indicate chickenpox, a highly contagious disease. B. The lesions might indicate a noncontagious infection that does not require isolation. C. The history and presentation might indicate an infectious illness called impetigo. D. The lesions are not contagious unless others have open wounds or lesions themselves.

Correct Answer: C

Rationale: The scenario describes classic impetigo, characterized by maculopapular lesions with honey-colored drainage, typically caused by Staphylococcus aureus or Streptococcus pyogenes. Antibiotic therapy is usually indicated for impetigo. Chickenpox, a highly contagious disease, presents with a history of high fever followed by a vesicular rash, different from the described maculopapular lesions with honey-colored drainage.
Choice A is incorrect as the presentation is not consistent with chickenpox.
Choice B is incorrect because impetigo is contagious, especially through direct contact.
Choice D is also incorrect as impetigo is a contagious skin infection regardless of others having open wounds or lesions.

Question 2 of 5

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Question 5 of 5

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