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.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale: Administering prescribed pain medication is important to manage the client’s severe abdominal pain. However, given the client’s symptoms, including severe pain, vomiting, jaundice, and signs of peritonitis (guarding and rebound tenderness), it is crucial to notify the healthcare provider immediately to assess the need for urgent diagnostic and therapeutic interventions.
Choice B rationale: Preparing the client for an abdominal ultrasound is a necessary step to identify the underlying cause of the abdominal pain, such as gallstones, cholecystitis, or other abdominal pathology. However, before proceeding with diagnostic tests, it is essential to notify the healthcare provider to ensure that the client’s condition is stabilized and to obtain any necessary orders.
Choice C rationale: Inserting a nasogastric tube for decompression can help relieve symptoms of abdominal distension and vomiting. However, this intervention should be performed after consulting with the healthcare provider to ensure it is appropriate for the client’s condition and to obtain the necessary orders.
Choice D rationale: Notifying the healthcare provider immediately is the first priority in this scenario. The client’s symptoms, including severe abdominal pain, vomiting, jaundice, and signs of peritonitis, indicate a potentially serious condition that requires prompt medical evaluation and intervention. The healthcare provider needs to be informed to assess the client’s condition, order appropriate diagnostic tests, and initiate necessary treatments.
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Administering vaccines prior to discharge is not recommended for a child with neutropenia because their immune system is compromised. Vaccines, especially live vaccines, can pose a risk of infection in immunocompromised individuals.
Choice B rationale
Obtaining the child’s rectal temperature once daily is not advisable for a child with neutropenia. Rectal thermometers can cause mucosal injury and increase the risk of infection in neutropenic patients.
Choice C rationale
Avoiding raw fruits and vegetables in the child’s diet is crucial for a child with neutropenia. Raw fruits and vegetables can harbor bacteria and other pathogens that can cause infections in immunocompromised individuals.
Choice D rationale
Bathing the child every other day is not sufficient for maintaining hygiene in a child with neutropenia. Daily bathing is recommended to reduce the risk of infection by removing potential pathogens from the skin.
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