A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
"I will ensure that my child is tested for tuberculosis every year."
"My child will need to double his medications for the next 6 months."
"The risk of transmission decreases once my child is on zidovudine for 2 weeks."
"My child will need to repeat his childhood immunizations once he is in remission."
The Correct Answer is A
A. This is the correct statement. Children with HIV are at increased risk for tuberculosis (TB) infection. Therefore, regular testing for TB is an important part of their healthcare.
B. Doubling medications without specific guidance from the healthcare provider can be dangerous and is not recommended. It's important for the parent to follow the prescribed medication regimen as directed.
C. While zidovudine (AZT) is an important medication for HIV treatment, the statement is not accurate. The risk of transmission does not decrease after only 2 weeks of
treatment. It takes longer for the viral load to decrease significantly.
D. Children with HIV do not necessarily need to repeat their childhood immunizations once they are in remission. However, the timing and need for vaccinations may be
individualized based on the child's specific circumstances and immune status. This statement does not demonstrate a clear understanding of the teaching.
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Related Questions
Correct Answer is C
Explanation
A. Renal calculi (kidney stones) are not directly related to fractures of the lower
extremities. They form in the kidneys and can cause pain and other symptoms when they pass into the urinary tract.
B. Osteomyelitis is a bone infection that can occur as a complication of fractures, but it typically develops over a longer period of time than the first 24 hours after the injury.
C. This is the correct answer. Compartment syndrome is a serious complication of fractures that can occur within the first 24 hours after injury. It is characterized by
increased pressure within a muscle compartment, leading to reduced blood flow, nerve compression, and tissue damage.
D. Volkmann ischemic contracture is a complication that can occur if there is prolonged or severe muscle ischemia (lack of blood flow) following a fracture. It is not typically a concern within the first 24 hours after the injury
Correct Answer is A
Explanation
A. In infants, the foot is a commonly used site for IV insertion due to the size of the veins and accessibility. However, it's important to ensure proper immobilization of the
extremity to prevent dislodgement.
B. A 24-gauge catheter may be too small for effective IV therapy in an infant. A larger gauge catheter is typically used for IV access in infants.
C. The IV site should be changed according to facility policy and based on assessment of the site. There is no specific guideline for changing the IV site every 3 days.
D. An opaque dressing is not typically used for IV insertion sites. A transparent dressing allows for continuous assessment of the site without removal.
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