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."

"The risk of transmission decreases once my child is on zidovudine for 2 weeks."

"My child will need to double his medications for the next 6 months."

"My child will need to repeat his childhood immunizations once he is in remission."

Answer and Explanation

The Correct Answer is A

A.   A child with HIV is at increased risk of developing tuberculosis and should be screened annually.
B.   This is incorrect because the risk of transmission does not depend on the duration of zidovudine therapy, but on the viral load and the exposure to body fluids.
C.   Doubling medications is not a standard practice in HIV management and may lead to medication errors or adverse effects.
D.   Childhood immunizations are important for children with HIV, but they may need to be adjusted based on the child's immune status and treatment regimen, not just during remission.

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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"E"}

Explanation

A. While acute glomerulonephritis can occur following certain infections such as streptococcal infections, it is less commonly associated with fever and lethargy compared to pyelonephritis.
B. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. The fever and lethargy reported by the parent, along with the urine sample obtained, suggest a concern for pyelonephritis.
C. Polycystic kidney disease typically presents later in life and is not typically associated with acute febrile illness in a 1-year-old toddler.
D. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis. The presence of fever and lethargy in the child, along with the history of decreased appetite, raises concerns for a urinary tract infection that could lead to renal scarring if left untreated.
E. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia, rather than the symptoms described in the scenario.

A. Discard the first voided specimen. B. Void every hour. C. Cleanse the perineum with a povidone-iodine solution prior to voiding. D. Save the final specimen in a separate container. E. Save the final specimen in a separate container.

Correct Answer is A

Explanation

Rationale:
A. Discarding the first voided specimen is necessary for a 24-hour urine collection.
B. Voiding every hour is not a specific instruction for a 24-hour urine collection and may not be practical or feasible.
C. Cleansing the perineum with a povidone-iodine solution is not necessary for a 24hour urine collection unless specifically instructed by the healthcare provider.
D. Saving the final specimen in a separate container is not necessary for a 24-hour urine collection.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is caring for a 1-year-old toddler. Exhibits The child is at risk for developing dropdown and dropdown. Drag words from the choices below to fill in each blank in the following sentence.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"E"}

Explanation

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Correct Answer is A

Explanation

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