7-year-old female arrives with her parents with reports of a rash on her back and chest that started two days ago. The parents state that she has been itching the area incessantly and that she reports a burning pain in the area. The parents say that her appetite has decreased, and she had a temperature of 100° F (37.8° C) the day prior.

The client has no medical history or hospitalizations. Her parents state it is unknown that she has been around anyone who has been sick because she does attend school and an after-school program regularly.

On exam, she has erythemic papules and vesicles on her back and torso. She states they 'burn and itch' and denies any other symptoms. Her skin is hot and appears dry.

All other physical exam findings were unremarkable.

Blood Pressure 104/72 mm Hg

Temperature 101.5° F (38.6° C)

Heart rate 93/minute

Respiratory rate 19/minute

Oxygen saturation 96% on room air

Varicella

• Acetaminophen 325 mg PO x 1 dose
• Diphenhydramine 25 mg PO x 1 dose
• Discharge client home