What should a nurse do if a child with varicella shows signs of secondary infection?

In the scenario where a child with varicella (chickenpox) demonstrates signs of a secondary infection, the most appropriate action for the nurse is to contact the healthcare provider for assessment. Secondary infections can occur when the varicella lesions become contaminated with bacteria, leading to complications such as cellulitis or abscess formation.

Seeking a healthcare provider's assessment facilitates a comprehensive evaluation of the child's condition. The provider may determine the need for antibiotics if a bacterial infection is confirmed or suspected. Prompt assessment is crucial to prevent further complications and ensure the child receives appropriate treatment.

Other options, such as encouraging outdoor play, administering more antiviral medication, or applying topical ointments, do not directly address the potential secondary infection. Playing outside could expose the child to additional pathogens or worsen their condition. While antiviral medications are important for managing varicella, they do not treat secondary bacterial infections, and topical ointments may not be effective in managing infections that require systemic treatment. Therefore, contacting the healthcare provider is the most prudent step in ensuring the child's health and safety.