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?
“My child will need to repeat his childhood immunizations once he is in remission.”.
“The risk of transmission decreases once my child is on zidovudine for 2 weeks.”.
“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 Correct Answer is C
The correct answer is Choice C.
Choice A rationale
Repeating childhood immunizations once in remission is not necessary. Children with HIV should follow the standard immunization schedule with some modifications based on their immune status.
Choice B rationale
The risk of transmission does not significantly decrease after just 2 weeks on zidovudine. Continuous adherence to antiretroviral therapy is essential for reducing viral load and transmission risk.
Choice C rationale
Ensuring the child is tested for tuberculosis every year is important. Children with HIV are at higher risk for TB due to their compromised immune systems.
Choice D rationale
Doubling medications for 6 months is not a standard practice and can lead to toxicity and adverse effects. Medication dosages should be carefully managed by healthcare providers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice A.
Choice A rationale
Prednisone is a corticosteroid that suppresses the immune system, making the child more susceptible to infections. Therefore, monitoring for signs of infection is crucial.
Choice B rationale
Prednisone can cause potassium loss, so limiting potassium-rich foods is not recommended. Instead, maintaining a balanced diet is important.
Choice C rationale
Prednisone does not stimulate growth spurts. In fact, long-term use can potentially stunt growth in children.
Choice D rationale
Discontinuing prednisone abruptly can cause adrenal insufficiency. If gastrointestinal upset occurs, the medication should be taken with food or the dosage adjusted, but not discontinued without consulting a healthcare provider.
Correct Answer is B
Explanation
The correct answer is B. Oral electrolyte solution.
Choice A rationale
White grape juice is high in sugar and may worsen diarrhea. High-sugar beverages can draw water into the intestines, leading to increased stool output and worsening dehydration.
Choice B rationale
Oral electrolyte solution helps prevent dehydration and replaces lost electrolytes in infants with acute diarrhea, making it the most appropriate choice. Oral rehydration solutions are specifically formulated to provide the right balance of electrolytes and fluids to manage dehydration caused by diarrhea.
Choice C rationale
Chicken soup is not recommended as it may be too heavy and rich for an infant with acute diarrhea. Additionally, it may not provide the necessary electrolytes and fluids needed to manage dehydration.
Choice D rationale
Applesauce may worsen diarrhea due to its high sugar content. Similar to white grape juice, high-sugar foods can draw water into the intestines and increase stool output.
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