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 D
Explanation
A. The child has the beginning signs of tooth eruption:
Teething usually begins around 4-7 months of age, so the beginning signs of tooth eruption (teething) are typical at six months.
B. The child is able to track and follow objects:
By six months, most infants can track and follow objects with their eyes, which is a normal developmental milestone for this age.
C. The child’s anterior fontanel is open:
The anterior fontanelle, the soft spot at the top of the baby's head, remains open until around 18-24 months of age, so its presence at six months is expected and considered normal.
D. The child’s posterior fontanel is open.
By six months of age, the posterior fontanelle, the soft spot located at the back of the baby's head, typically closes or is significantly smaller than it was at birth. The posterior fontanelle usually closes between 2 to 4 months of age in most infants. If it remains noticeably open by six months, it might warrant further evaluation as it could be indicative of a developmental or medical issue.
Correct Answer is B
Explanation
A. The deciduous teeth falling out:
The falling out of deciduous (baby) teeth is a natural part of early childhood development and is not specifically indicative of adolescence. The loss of deciduous teeth usually occurs before the age of 12.
B. The beginning of puberty:
Puberty is the period of physical and sexual development that marks the transition from childhood to adolescence. It involves the development of secondary sexual characteristics, such as breast development in girls and facial hair growth in boys, along with other physical changes.
C. The child becoming self-supported:
Becoming self-supported is a broad concept that can occur at various stages of development and is not a specific marker of the beginning of adolescence. Adolescents may gain increasing independence, but this is a gradual process.
D. The fine motor skills fully developed:
Fine motor skills typically develop during early childhood, and the full development of these skills is not a specific marker for the beginning of adolescence. Fine motor skills involve the coordination of small muscle movements and are important for tasks like writing and drawing.
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