NursingPlex
    Sign In
    Ati PN Comprehensive Predictor 2026 Proctored Exam

    A nurse is assisting with a community health education program about childhood communicable diseases. Which of the following information should the nurse include in the presentation?

    Explanation & Rationale

    Childhood communicable diseases are often viral infections that spread easily in community and school settings. Prevention and control rely on immunization, appropriate isolation, and supportive care rather than unnecessary medications. Understanding transmission patterns helps nurses educate caregivers on when children are contagious and how long isolation is required. Varicella, in particular, has clear infection control guidelines based on lesion status. Rationale: A. Restricting fluids in children with pertussis is inappropriate because adequate hydration is essential to help loosen secretions and prevent dehydration from frequent coughing episodes. Pertussis management includes maintaining fluid intake, ensuring airway clearance, and administering antibiotics when indicated. Fluid restriction could worsen respiratory secretions and overall clinical status. B. Exanthem subitum (roseola infantum) is caused by human herpesvirus 6 and is not preventable through routine childhood immunizations. Vaccines are not currently available for this condition. Therefore, immunization cannot be used as a preventive measure for roseola. C. Children with varicella (chickenpox) should be isolated until all vesicular lesions have crusted over, as this indicates the end of the infectious period. The virus is spread through direct contact with lesions and airborne droplets. Isolation prevents transmission to susceptible individuals, especially those who are immunocompromised or unvaccinated. D. Erythema infectiosum (fifth disease) is caused by parvovirus B19 and is a viral infection that does not require antibiotic therapy. Antibiotics are ineffective because the condition is not bacterial in origin. Management is usually supportive, focusing on symptom relief such as fever control and hydration.

    🔒 Submit your answer to reveal