r>33. 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
Choice A rationale
Regular tuberculosis testing is recommended for children with HIV as they have a higher risk of developing tuberculosis due to their weakened immune system.
Choice B rationale
Doubling the child’s medications for the next 6 months is not a standard practice in HIV treatment. The dosage and regimen of antiretroviral therapy are carefully determined by healthcare providers based on the child’s specific needs and condition.
Choice C rationale
The risk of HIV transmission does not decrease after 2 weeks of zidovudine treatment. Antiretroviral therapy can reduce the viral load to undetectable levels, significantly reducing the risk of transmission, but this usually takes longer than 2 weeks to achieve.
Choice D rationale
Children with HIV do not need to repeat their childhood immunizations once they are in remission. The standard immunization schedule is generally followed for children with HIV, with some additional vaccines recommended due to their increased risk of certain infections.
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Related Questions
Correct Answer is A
Explanation
Choice A rationale
The pneumococcal conjugate vaccine (PCV13) is recommended for children with sickle cell anemia. This is because individuals with sickle cell disease are at an increased risk of infection, and the PCV13 vaccine can help protect against Streptococcus pneumoniae, a bacterium that can cause serious infections like pneumonia and meningitis.
Choice B rationale
The Respiratory syncytial virus (RSV) vaccine is not typically included in the immunization schedule for children with sickle cell anemia.
Choice C rationale
While the Measles, Mumps, and Rubella (MMR) vaccine is part of the standard immunization schedule for all children, it is not specifically indicated for children with sickle cell anemia.
Choice D rationale
The Rotavirus vaccine is part of the standard immunization schedule for all infants, but it is not specifically indicated for children with sickle cell anemia.
Correct Answer is B
Explanation
The correct answer is choiceB.
Choice A rationale:
Dark brown blood in emesis is typically old blood and may not require immediate intervention.However, it should still be monitored and reported to the healthcare provider.
Choice B rationale:
Frequent swallowing can indicate active bleeding from the surgical site, which requires immediate intervention.This is a sign that the child may be swallowing blood, which can lead to significant blood loss.
Choice C rationale:
An axillary temperature of 38°C (100°F) is a mild fever and not uncommon postoperatively.It should be monitored, but it does not require immediate intervention.
Choice D rationale:
A pain level of 5 on the FACES scale indicates moderate pain, which is expected after a tonsillectomy.Pain management should be addressed, but it does not require immediate intervention.
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