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."
The Correct Answer is A
A. This statement demonstrates an understanding of the increased risk of tuberculosis in individuals with HIV and the importance of regular screening. Tuberculosis is a common opportunistic infection in individuals with HIV, and regular testing is essential for early detection and treatment.
B. While starting antiretroviral therapy such as zidovudine is important for managing HIV, it does not immediately decrease the risk of transmission. It takes time for viral load suppression to occur and for the risk of transmission to decrease significantly.
C. Doubling medications without healthcare provider guidance could lead to incorrect dosing and potential harm. HIV medications should be taken exactly as prescribed by the healthcare provider.
D. Childhood immunizations are essential for preventing other infectious diseases but may need to be adjusted based on the child's immune status and specific recommendations from the healthcare provider. The statement does not address the immediate concern of managing HIV.
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Related Questions
Correct Answer is B
Explanation
A. The first dose of inactivated poliovirus vaccine is typically administered at 2 months of age, not at 12 months.
B. The first dose of varicella (chickenpox) vaccine is recommended at 12 months of age.
C. Human papillomavirus vaccine is typically administered starting at age 9-11 years, not at 12 months.
D. The first dose of hepatitis B vaccine is typically administered at birth, not at 12 months.
Correct Answer is A
Explanation
A. Infusing each unit of blood within 4 hours is a standard practice to minimize the risk of bacterial contamination and ensure the effectiveness of the transfusion. This intervention helps maintain the integrity and safety of the blood product.
B. Infusing dextrose 5% in water during the infusion of packed RBCs is unnecessary and not recommended as it can lead to hemolysis of the blood cells and potential adverse reactions.
C. Storing the second unit of blood at room temperature for up to 2 hours is incorrect practice. Blood products should be stored according to specific guidelines to maintain their integrity and safety.
D. Administering RBCs using non-filtered IV tubing is inappropriate as it can lead to the infusion of clots or debris, which can be harmful to the patient. The use of filtered IV tubing is recommended to ensure the safety of the transfusion.
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