ch47

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The nurse is providing home care instructions for a 13-year-old girl recently diagnosed with systemic lupus erythematosus. Which response by the girl indicates a need for further teaching?

"I need to wear sunscreen in the summer taob i rpb .rceo mv/et ens tt rashes."

A nurse is caring for a 12-year-old girl with a severe peanut allergy. The girl's parents are upset because the school does not permit her to carry her EpiPen with her. It must remain in the school's office per school regulations. Which response by the nurse would be most appropriate?

"She is allowed by law to carry her EpiPen with her; I will talk to school authorities."

While providing care to a 5-month-old girl whose family has a history of food allergies, the nurse instructs the parents about foods to be avoided in the first year of life. Which response by the parents indicates a need for further teaching?

"any kind of fruit is acceptable."

When teaching a group of new parents about newborn care and development, which immunoglobulin would the nurse explain as being primarily responsible for the passive immunity exhibited by newborns?

IgG

The nurse is caring for a child who is having an anaphylactic reaction with bronchospasm. The nurse would expect to administer what medication for bronchospasm as ordered?

albuterol

After teaching a class about humoral and cellular immunity, the nurse recognizes that additional teaching is needed when the class states that:

cellular immunity recognizes antigens

The school nurse is walking through the lunchroom when one of the children says she started to feel strange after trading lunches with a friend. Which assessment would be most important?

determining if her throat itches

What would the nurse expect to find in a male infant with Wiskott--Aldrich syndrome?

eczema

The nurse is administering intravenous immune globulin (IVIG). The nurse assesses vital signs and for adverse reactions every 15 minutes for the first hour of administration. After the first hour, the nurse most likely would continue to assess the child at which frequency?

every 30 minutes

The nurse is caring for a child who has undergone stem cell transplantation for severe combined immune deficiency. What finding would the nurse interpret as indicative of graft-versus-host disease?

maculopapular rash

A child is diagnosed with juvenile idiopathic arthritis and is receiving several different medications listed in the medication administration record. Which agent would the nurse identify as being used to prevent disease progression?

methotrexate

The nurse is caring for a child undergoing highly active antiretroviral therapy (HAART) for HIV infection. The nurse is preparing to administer the prescribed medication. In addition to the nucleoside analog reverse transcriptase inhibitors (NRTIs) and the nonnucleoside analog reverse transcriptase inhibitors (NNRTIs), the nurse is cognizant that the child will be taking which additional medication as part of the three-drug regimen?

protease inhibitors

Which exercise would the nurse suggest as most helpful to maintain mobility in a child with juvenile idiopathic arthritis?

swimming

The nurse is caring for a child who is taking corticosteroids for systemic lupus erythematosus. The nurse closely monitors the child based on the understanding that corticosteroids exert which major action?

they can mask signs of infection

When reviewing the history of a child with suspected primary immunodeficiency, what would the nurse be least likely to find?

weight appropriate for height

The nurse is caring for a newborn whose mother is positive. The nurse would expect to administer a 6-week course of which medication?

zidovudine


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