Rubeola, Rubella, and Varicella

Rubeola (Measles)

  • Agent: Paramyxovirus
  • Red maculopapular eruption starting on face and spreading downward to feet. 
  • Koplik’s spots: Small red spots with a bluish white center and red base located in buccal mucosa.
  • Fever, malaise, and 3 C’s: Coryza, Cough, Conjunctivitis.
  • Airborne precautions. N95 Mask
  • Quiet activities and bedrest
  • Cool mist vaporizer for cough and coryza
  • Dim lights if photophobia
  • Acetaminophen for fever

Rubella (German Measles)

  • Agent: Rubella virus
  • Found in nasopharyngeal secretions, blood, stool and urine
  • Droplet/Contact precautions
  • Pinkish-red maculopapular rash that begins on face and spreads to body. 
  • Low-grade fever and general malaise
  • Provide supportive care
  • Causes congenital anomalies so isolate from pregnant women.
 
 

Varicella (Chickenpox)

  • Agent: Varicella-zoster virus
  • Transmission: Direct contact, droplet/airborne and contaminated objects
  • Strict isolation (contact and airborne precautions) N95 mask
  • Fever, malaise, anorexia and macular rash that starts on the trunk and moves to face and extremities. 
  • Pustules to dry crusts
  • Isolate child until pustules have dried out

Scarlet Fever

  • Group A beta-hemolytic streptococci
  • Transmission: Direct contact with droplet or indirect with contaminated articles.
  • High fever, flushed cheeks, vomiting, headache, enlarged lymph nodes in the neck, abdominal pain.
  • Red, fine sandpaper-like rash in the axilla, groin, and neck.  Spreads all over body except face.
  • White strawberry tongue
  • Tonsils and pharynx is red
  • Bacterial: requires antibiotics
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The nurse is caring for a child with measles. Which of the following isolations precautions should the nurse institute?

Correct! Wrong!

The simple knowledge: Negative airflow, N95 masks, private room, and close the door. Remember airborne is for MTV (measles, tuberculosis and varicella) Airborne precautions refer to measures that must be taken to prevent the spread of infectious diseases through the air. These precautions include: 1. Using personal protective equipment (PPE) such as N95 masks, respirators, gloves, and gowns when caring for patients with airborne diseases. 2. Placing patients with airborne infections in negative pressure rooms. 3. Ensuring that patients with airborne infections wear masks when they are outside of their rooms. 4. Limiting the movement of patients with airborne infections within the healthcare facility. 5. Providing education to patients and visitors regarding proper hand hygiene and coughing/sneezing etiquette.

The nurse is caring for a child with varicella. The nurse needs to implement which of the following isolation precautions?

Correct! Wrong!

Airborne = MTV (measles, tuberculosis and varicella). N95 mask, private room, close door, and negative airflow room.

The places a child with pertussis on which of the following isolation precautions?

Correct! Wrong!

Pertussis, also known as whooping cough, is a highly contagious respiratory infection caused by the bacterium Bordetella pertussis. The treatment is antibiotics such as azithromycin, clarithromycin, or erythromycin. The following isolation precautions are recommended for patients with pertussis: 1. Standard precautions should be followed at all times. These include hand hygiene, use of gloves, gowns and masks when necessary, and appropriate handling and disposal of contaminated items. 2. Droplet precautions should be used for 21 days from the onset of cough. Patients should be placed in a private room. Healthcare providers should wear masks when in close contact with the patient. 3. Contact precautions should be used if the patient has respiratory secretions that cannot be contained. This includes wearing gloves and gowns when in contact with the patient or contaminated items. 4. Visitors should be limited and must follow the same precautions as healthcare providers.

The nurse implements which of the following isolation precautions for a child with scarlet fever?

Correct! Wrong!

Scarlet fever is an infectious disease that is caused by the streptococcus bacteria. It is highly contagious and can be easily spread through direct contact with an infected person or by coming in contact with contaminated objects. Scarlet fever is characterized by a high fever, sore throat, and a sandpaper-like rash that appears on the chest, back, and stomach. Infected clients should be isolated in a separate room and avoiding contact with healthy individuals.

The nurse admits a client with small red spots with blue-white center in the mouth. The nurse recognizes that the disease that the child is most likely experiencing is which of the following?

Correct! Wrong!

These are koplik's spots.

The nurse is caring for a child with Coryza (congestion), Cough and Conjunctivitis. Which of the following conditions is the child most likely experiencing?

Correct! Wrong!

The 3 C's are characteristic of Rubeola. Rubeola is a highly contagious viral infection that causes a characteristic rash, fever, cough, and runny nose. It is primarily spread through airborne droplets and can lead to severe complications such as pneumonia, encephalitis, or even death. Children and adults who have not received the measles vaccine or have not been previously infected are vulnerable to rubeola. Nursing care for patients with rubeola focuses on symptom management, isolation precautions to prevent transmission of the virus, and monitoring for complications. Patients with severe cases may require hospitalization for respiratory, nutritional, and fluid support. Prevention of rubeola is key, and vaccination is the most effective means of preventing the disease.

Which of the following diseases is characterized by a rash that starts on the face and spreads to the extremities?

Correct! Wrong!

Rubeola, commonly known as measles, is a highly contagious viral infection that can be characterized by a distinct rash. The rash typically appears days after initial symptoms such as fever, cough, and congestion. At first, small red spots appear on the skin that eventually merge together and form raised blotchy patches. The rash usually starts on the face and spreads throughout the rest of the body over the course of several days. As the rash progresses, it may become raised and bumpy, and it may also become itchy. The rash is often accompanied by other symptoms such as fatigue, sore throat, and muscle aches. While most people with rubeola recover without complications, the condition can be serious and even fatal in certain instances. Vaccination is the best way to prevent contracting rubeola.

Which of the following diseases is characterized by a rash starts on the trunk and moves to the face and extremities?

Correct! Wrong!

Varicella, also known as chickenpox, causes an itchy rash that typically starts on the face, chest, and back before spreading to other parts of the body. The rash usually begins as multiple small, red bumps that evolve into fluid-filled blisters over the course of a few days. These blisters can be highly irritating and uncomfortable, and may be accompanied by fever, headache, and other flu-like symptoms. The blisters eventually rupture and crust over, forming scabs that can take up to two weeks to heal completely. The rash usually goes away on its own, but antiviral medications may be prescribed in certain cases to speed up recovery or prevent more serious complications, especially in people with weakened immune systems. It is highly contagious, and people with chickenpox should stay home from school or work until all blisters have scabbed over.

Which of the following diseases is characterized by a sandpaper-like rash on axilla, groin, and neck except face and a white strawberry tongue.

Correct! Wrong!

This is characteristic of Scarlet Fever.

The nurse anticipates to administer antibiotics for a child with which of the following diseases?

Correct! Wrong!

Scarlet fever is a bacterial infection caused by group A Streptococcus bacteria. Symptoms include a sore throat, fever, headache, nausea, vomiting, and a distinctive bright red rash that feels like sandpaper to the touch. The rash usually starts on the face or neck and spreads to the rest of the body. Other symptoms may include swollen glands and a strawberry-like appearance of the tongue. Scarlet fever is highly contagious and spreads through close contact with an infected person or objects contaminated with the bacteria. It is usually treated with antibiotics to prevent complications like rheumatic fever, which can cause serious damage to the heart, joints, and other organs. With prompt treatment, most people make a full recovery within a week. Scarlet fever is most common in children aged 5-15 years, but can occur at any age.

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