Saunders 46 Immunodeficiency 564

A 3-year-old child with human immunodeficiency virus (HIV) infection is being discharged from the hospital. The nurse is providing discharge instructions to the mother regarding home care and infection control measures. Which statement by the mother indicates a need for further teaching? 1. "I should discard any unused food and formula immediately." 2. "I need to wash all vegetables carefully before preparing them." 3. "If the nipple becomes soft and sticky, I will discard the nipple." 4. "I will the clean eating utensils, baby bottle, and dishes in the dishwasher."

1. "I should discard any unused food and formula immediately."

Select the home care instructions that the nurse would provide to the other of a child with AIDS. SATA 1. frequent hand washing is important 2. the cild should avoid exposure to the other illness 3. the child's immunization schedule will need revision 4. kissing the child on the mouth will never transmit the virus 5. clean up body fluid spills, and bleach evolution and diarrhea are expected to occur and do note repair special interventions.

1. frequent hand washing is important 2. the cild should avoid exposure to the other illness 5. clean up body fluid spills, and bleach evolution and diarrhea are expected to occur and do note repair special interventions.

The clinic nurse is instructing the parent of a child with human immunodeficiency virus (HIV) infection regarding immunizations. The nurse should provide which instruction to the parent? 1. The hepatitis B vaccine will not be given to the child. 2. The inactivated influenza vaccine will be given yearly. 3. The varicella vaccine will be given before 6 months of age. 4. A Western blot test needs to be performed and the results evaluated before immunizations.

2. The inactivated influenza vaccine will be given yearly.

A nurse is caring for a 4-year-old child with a diagnosis of human immunodeficiency virus (HIV) infection. IN planning care to address the child's psychosocial needs, the nurse expects that the child: 1. will express fear, withdrawal, and denial 2. begins to understand that something is wrong 3. Is unable to grasp the concept of illness and death 4. begins to conceptualize the death process to the evolving physical harm.

4. begins to conceptualize the death process to the evolving physical harm.

A 6-year-old child with human immunodeficiency virus (HIV) has been admitted to the hospital for pain management. The child asks the nurse if the pain will ever go away. The nurse should make which best response to the child? 1. "The pain will go away if you lie still and let the medicine work." 2. "Try not to think about it. The more you think it hurts, the more it will hurt." 3. "I know it must hurt, but if you tell me when it does, I will try and make it hurt a little less." 4. "Every time it hurts, press on the call button and I will give you something to make the pain go all away."

3. "I know it must hurt, but if you tell me when it does, I will try and make it hurt a little less."

The nurse provides home care instructions to the parent of a child with acquired immunodeficiency syndrome (AIDS). Which statement by the parent indicates the need for further teaching? 1. "I will wash my hands frequently." 2. "I will keep my child's immunizations up to date." 3. "I will avoid direct unprotected contact with my child's body fluids." 4. "I can send my child to day care if he has a fever, as long as it is a low-grade fever."

4. "I can send my child to day care if he has a fever, as long as it is a low-grade fever."

The mother with human immunodeficiency virus (HIV) infection brings her 10-month-old infant to the clinic for a routine checkup. The health care provider has documented that the infant is asymptomatic for HIV infection. After the checkup, the mother tells the nurse that she is so pleased that the infant will not get HIV. The nurse should make which most appropriate response to the mother? 1. "I am so pleased also that everything has turned out fine." 2. "Because symptoms have not developed, it is unlikely that your infant will develop HIV infection." 3. "Everything looks great, but be sure that you return with your infant next month for the scheduled visit." 4. "Most children infected with HIV develop symptoms within the first 9 months of life, and some become symptomatic sometime before they are 3 years old."

4. "Most children infected with HIV develop symptoms within the first 9 months of life, and some become symptomatic sometime before they are 3 years old."

An infant of a mother infected with HIV is seen in the clinic each month and is being monitored for symptoms indicative of human immunodeficiency virus (HIV) infection. The nurse assesses the infant, knowing that which infection is the most common opportunistic infection of children infected with HIV? 1. Meningitis 2. Gastroenteritis 3. Cytomegalovirus infection 4. Pneumocystis jiroveci pneumonia

4. Pneumocystis jiroveci pneumonia

A newborn infant of a mother who has human immunodeficiency versus (HIV) infections is tested for the presence of HIV antibodies. An enzyme linked immusorbent assay (ELISA) is performed, and the results are positive. The nurse interprets these results as: 1. Positive for HIV 2. Negative for HIV 3. Indicating the absence of maternal infection 4. indicating the presence of maternal infection

4. indicating the presence of maternal infection

A health care provider prescribes laboratory studies for an infant of a woman positive for human immunodeficiency virus (HIV) to determine the presence of HIV antigen in the infant. The nurse anticipates that which laboratory study will be prescribed for the infant? 1. Chest x-ray 2. Western blot 3. CD4+ cell count 4. p24 antigen assay

4. p24 antigen assay