The nurse is caring for a 16-year-old child with a diagnosis of acquired immunodeficiency syndrome (AIDS). What treatment goal has the highest priority for this child?
Preventing spread of infection
Maintaining skin integrity
Improving nutrition
Promoting comfort
The Correct Answer is A
A. Preventing spread of infection:
This is a priority because individuals with acquired immunodeficiency syndrome (AIDS) have a compromised immune system. Preventing the spread of infections is crucial to avoid additional complications and safeguard the individual's health.
B. Maintaining skin integrity:
Skin integrity is important for overall health, but in the context of AIDS, preventing infections and promoting immune function take precedence over maintaining skin integrity. Skin issues might be secondary to the immune system's compromised state.
C. Improving nutrition:
Good nutrition is important for overall health, including supporting the immune system. However, preventing the spread of infection is more immediate and critical in the case of someone with AIDS. Addressing nutritional needs can be part of the overall care plan but might be secondary to preventing infections.
D. Promoting comfort:
While promoting comfort is essential in nursing care, the priority in the case of a child with AIDS would be preventing the spread of infection due to the immunocompromised state. Comfort measures may be incorporated into the care plan, but they would not take precedence over preventing further health complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. “We will keep our household hot water heater at 130 degrees.”
The recommended setting for a hot water heater is typically 120 degrees Fahrenheit to prevent scalds. Setting it at 130 degrees may still pose a risk of burns to young children.
B. “We will place poisonous substances in a high cupboard.”
Placing poisonous substances out of reach in a high cupboard is a safety measure to prevent children from accessing potentially harmful substances.
C. “We will place a gate at the top and bottom of stairways.”
Using safety gates at the top and bottom of stairways is an effective way to prevent young children from falling down stairs.
D. “We will put plastic fillers in all electrical plugs.”
Placing plastic fillers in electrical plugs helps prevent children from inserting objects into outlets, reducing the risk of electric shock.
E. “We will turn handles of pans on the stove toward the back of the stove.”
Turning handles of pans on the stove toward the back is a safety measure to prevent young children from reaching up and pulling hot items off the stove.
Correct Answer is C
Explanation
A. Rubella:
Rubella, also known as German measles, typically presents with a rash that starts on the face and spreads to the trunk and limbs. It does not cause Koplik spots, the small red spots with a blue-white center mentioned in the scenario.
B. Varicella:
Varicella, or chickenpox, is characterized by an itchy rash that progresses to fluid-filled vesicles. It does not typically involve Koplik spots, and the scenario doesn't describe a vesicular rash.
C. Rubeola (Measles):
Rubeola, or measles, presents with symptoms such as high fever, cough, rhinitis, and conjunctivitis. The characteristic Koplik spots, small red spots with a blue-white center, often appear on the buccal mucosa. This matches the description in the scenario.
D. Infectious Mononucleosis:
Infectious Mononucleosis is characterized by symptoms like fever, sore throat, and swollen lymph nodes. It does not present with the specific buccal membrane spots seen in measles, and the scenario does not mention other typical signs of infectious mononucleosis.
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