- Subjective symptoms: complaints of headache, anorexia and malese.
- On the skin and mucous membrane: lesions in various stages of development: from erythematous macules that appear for 4-5 days and then quickly become vesicles and crusting that began in the body and spread sentrifubal prominent and extremities. Lesions may also occur in the mucosa, palate and konjunctiva.
- Temperature: fever may occur between 38-39 C
Nursing Diagnosis for Varicella Zoster virus
1. Impaired skin integrity related to trauma
2. Acute pain related to damage to the skin / tissue
3. Risk for Infection related to damage skin protection
4. Knowledge deficient related to incorrect interpretation of information
Nursing interventions for Varicella Zoster virus
DX 1
Impaired skin integrity related to trauma
Intervention:
- Encourage regular bathing
- Avoid scratching the lesions
- Use a soft clothes
Acute pain related to damage to the skin / tissue
Intervention:
- Use a powder analgesic and anti-pruritic.
- Keep the room temperature is still cool with adequate moisture.
DX3
Risk for Infection related to damage skin protection
Intervention:
- Perform isolation (strict isolation):
Strict isolation procedures:
- Single room: the door should always be closed. Clients who become infected by the same organism can be placed in the same room.
- Use masks, special clothing, and gloves for all those who come into the room.
- Always wash your hands after touching the client or objects that may be contaminated, and before giving the action to other clients.
- All contaminated items disposed of or put into a special place and labeled prior to decontamination or reprocessed back
DX4
Knowledge deficient related to incorrect interpretation of information
- Teach the parents in the treatment of children in ruamah on things above.
- Explain that fever d apat treated with tepid sponge bath did.
- Explain that the use of medication must be in accordance with doctor's instructions.
