The nurse is developing a teaching plan for a school-aged child with AIDS. Which instruction should the nurse include in the teaching plan for the family of a school-aged child with AIDS?
Obtain a booster for all immunizations as soon as possible.
Obtain an injection of penicillin G 1000 units weekly.
Keep the child away from other children and begin a home school program.
Avoid exposure to chickenpox.
The Correct Answer is D
Rationale:
A. Obtain a booster for all immunizations as soon as possible: While immunizations are important, live vaccines may be contraindicated in children with AIDS depending on their immune status. Boosters should be given only under the guidance of a healthcare provider.
B. Obtain an injection of penicillin G 1000 units weekly: Routine prophylactic penicillin is not indicated for children with AIDS unless there is a specific underlying condition such as sickle cell disease.
C. Keep the child away from other children and begin a home school program: Isolation from peers is unnecessary and can negatively impact social and emotional development. Standard precautions and avoiding exposure to infectious illnesses are more appropriate.
D. Avoid exposure to chickenpox: Children with AIDS are immunocompromised and at high risk for severe complications from varicella infection. Teaching the family to avoid exposure to chickenpox and other infectious diseases is essential to protect the child’s health.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Keep house pets away from the food preparation area: While maintaining hygiene around pets is good practice, rotavirus is primarily transmitted via the fecal-oral route between humans, so pet contact is not a major factor in prevention.
B. Use only lactose-free formulas: Lactose-free formulas address lactose intolerance but do not prevent rotavirus infection. Formula type has no impact on viral transmission.
C. Avoid feeding infants fresh fruits: Fresh fruits are generally safe and do not increase the risk of rotavirus infection if proper hand hygiene and food handling practices are followed. Avoiding fruits is unnecessary.
D. Wash hands before any food preparation: Rotavirus is highly contagious and spreads via the fecal-oral route. Proper handwashing before preparing or feeding food is a key preventive measure to reduce the risk of infection in infants.
Correct Answer is D
Explanation
Rationale:
A. Document the finding in the infant's record: Documentation is necessary for all assessment findings, but an irregular heart rate in a newborn may indicate a potentially serious cardiac issue. Simply recording it without notifying the healthcare provider could delay critical evaluation or intervention.
B. Teach the parents about congenital heart defects: Parental education is important, but it is not the immediate priority when a newborn has an irregular heart rate. Immediate assessment and guidance from a healthcare provider take precedence over education.
C. Apply oxygen per nasal cannula at 3 L/min: Administering oxygen is only indicated if the infant shows signs of hypoxia or respiratory distress. An irregular heart rate alone does not automatically require supplemental oxygen without further assessment.
D. Notify the pediatrician immediately: Immediate notification of the pediatrician is essential because an irregular heart rate may signal arrhythmias, congenital heart defects, or other serious cardiac conditions. Prompt evaluation ensures timely intervention to prevent complications.
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