An 18-month-old is discharged from the hospital after having a febrile seizure secondary to exanthem subitum (roseola , also known as sixth disease and roseola infantum). On discharge, the mother asks the nurse if her 6-year-old twins will get sick. Which teaching about the transmission of roseola
would be most accurate?
1. The child should be isolated in the home until the vesicles have dried.
2. The child does not need to be isolated from the older siblings.
3. Administer acetaminophen to the older siblings to prevent seizures.
4. Monitor older children for seizure development.
Answer And Discussion:
Correct answer is choice '2' The child does not need to be isolated from the older siblings.
1. The rash is pink and maculopapular, not vesicular. The incubation period is 5 to 15 days and more commonly seen in children 6 months to 3 years of age. Isolating the siblings is not necessary.
2. Roseola transmission is unknown and more commonly seen in children 6 months to 3 years of age, so siblings do not need to be isolated.
3. Because the siblings have no history of seizures, it is not necessary to administer acetaminophen to prevent seizures.
4. Febrile seizures are not usually seen in children older than 6 years, and because they have no history of seizures, it is not necessary to monitor them for seizure development.
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