06-02-2010, 09:05 PM
18. A healthy 7-year-old boy is brought to the physician 1 week after he was exposed for several hours to a child with chickenpox. The patient and his healthy sister have not had chickenpox. They have not received varicella vaccine. Which of the following is the most appropriate management for the patient and his sister at this time?
A
) Administer acyclovir as prophylaxis
B
) Administer immune globulin, intravenously
C
) Administer aspirin therapy if vesicles appear
D
) Advise the parents to keep the siblings home from school to prevent exposing their classmates
E
) Inform the parents that a vesicular rash may appear at any time over the next 2 weeks
why not D? It is infectious 1-2 days before rash appears. so if any time the rash can appear, they should be isolated. It is too late if isolating them after rash appear. Does any body know the regulation about when can they go to school?
A
) Administer acyclovir as prophylaxis
B
) Administer immune globulin, intravenously
C
) Administer aspirin therapy if vesicles appear
D
) Advise the parents to keep the siblings home from school to prevent exposing their classmates
E
) Inform the parents that a vesicular rash may appear at any time over the next 2 weeks
why not D? It is infectious 1-2 days before rash appears. so if any time the rash can appear, they should be isolated. It is too late if isolating them after rash appear. Does any body know the regulation about when can they go to school?