A nurse is planning care for a child with human immunodeficiency virus (HIV). Which nursing diagnosis is the highest priority for this child?
Ineffective tissue perfusion
Risk for infection
Risk for fluid volume deficit
Ineffective thermoregulation
The Correct Answer is B
a) Ineffective tissue perfusion: Though this might be a concern, the highest priority for an HIV-positive child is the risk of acquiring infections due to compromised immunity.
b) Risk for infection: HIV weakens the immune system, significantly increasing the risk of contracting infections. Preventing infections is the primary focus.
c) Risk for fluid volume deficit: While important, it's not the highest priority compared to the risk of infection due to HIV.
d) Ineffective thermoregulation: Not typically the primary concern for an HIV-positive child compared to the increased risk of infections due to the compromised immune system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
a) nephritis: Common in lupus, involving inflammation of the kidneys.
b) butterfly rash: Characteristic rash across the cheeks and bridge of the nose, commonly seen in lupus.
c) hepatomegaly: While possible in certain conditions, it's not typically a primary manifestation of lupus.
d) arthritis: Joint inflammation and pain are common in lupus.
e) osteochondritis: While musculoskeletal symptoms can occur in lupus, osteochondritis is not a common manifestation.
Correct Answer is B
Explanation
a) Ineffective tissue perfusion: Though this might be a concern, the highest priority for an HIV-positive child is the risk of acquiring infections due to compromised immunity.
b) Risk for infection: HIV weakens the immune system, significantly increasing the risk of contracting infections. Preventing infections is the primary focus.
c) Risk for fluid volume deficit: While important, it's not the highest priority compared to the risk of infection due to HIV.
d) Ineffective thermoregulation: Not typically the primary concern for an HIV-positive child compared to the increased risk of infections due to the compromised immune system.
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