Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
38. The parents of a child isolated with scarlet fever ask a nurse. "Why didn't our child get a vaccine for this disease?" The nurse's best response is:
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
38. The parents of a child isolated with scarlet fever ask a nurse. "Why didn't our child get a vaccine for this disease?" The nurse's best response is:
. "The disease is bacterial in nature and responds well to antibiotics."
. "A vaccine is in development."
. "Consult your pediatrician as to why the vaccine was not given."
. "This disease is not communicable; therefore, a vaccine is not necessary."
Test-Taking Tip
Eliminate Answers 2, 3, and 4 because they are theoretically incorrect (i.e., there are no vaccines for this bacterial disease, and scarlet fever is communicable).
Content Area: Child Health, Infectious Disease; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
.
Answer 1 is correct because scarlet fever is bacterial in nature (Group A β-hemolytic streptococci) and responds well to antibiotics (usually penicillin). Vaccines are generally developed for communicable diseases that are viral in nature. Answer 2 is incorrect because vaccines are generally developed for communicable diseases that are viral in nature as opposed to bacterial. There is no vaccine for scarlet fever in development at the present time. Answer 3 is incorrect because the nurse has sufficient knowledge about the pathophysiology of scarlet fever to correctly answer the parents' question without referring the parents to the pediatrician. Answer 4 is incorrect because scarlet fever is communicable and can be treated with the use of antibiotics (usually penicillin).