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    ATI RN 302 Paediatrics proctored Exam

    A nurse is preparing to teach a parent how to care for a child who has impetigo contagiosa. Which of the following information should the nurse plan to include in the teaching?

    Explanation & Rationale

    Choice A reason: Droplet precautions are unnecessary for impetigo, a bacterial skin infection spread by direct contact, not respiratory droplets. Home isolation focuses on contact precautions, like avoiding shared items, to prevent spread, making droplet precautions irrelevant for managing impetigo transmission. Choice B reason: Immunization is not available for impetigo, caused by Staphylococcus or Streptococcus bacteria. Unlike viral diseases, impetigo is treated with antibiotics, not prevented by vaccines. Household contacts require hygiene measures, not immunization, to avoid bacterial spread through direct contact. Choice C reason: Chlorine baths are not a standard treatment for impetigo. While antiseptic washes may reduce bacterial load, chlorine can irritate skin, worsening lesions. Antibiotic therapy, topical or oral, is the primary treatment to eradicate the bacterial infection causing impetigo. Choice D reason: Washing clothing in hot water kills bacteria causing impetigo, like Staphylococcus aureus, preventing reinfection or spread to others. Hot water and detergent effectively decontaminate fabrics, reducing bacterial load on items in contact with lesions, a critical measure for infection control.

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