Saunders Immune
A child was seen in the health care clinic and received an immunization of DPT vaccine. One hour later the mother calls the clinic and tells the nurse that the injection site is painful and red. Which instruction should the nurse provide to the mother
Apply cold compresses for 24 hours for 20 min at a time
The nurse is providing instructions to the mother of a child with HIV regarding immunizations. Which statement by the mother indicates an understanding of the immunization schedule
Family members in the household need to receive the influenza vaccine
The student nurse is presenting a clinical conference regarding HIV in children. Which information should the student include
HIV cannot be spread by hugging, holding or touching other people
The nurse provides home care instructions to the parent of a child with AIDS. which statement by the parent indicates the need for further teaching
I can send my child to daycare if she has a fever, as long as it is a low grade fever
A 6 year old child with HIV has been admitted to the hospital for pain mgmt. The child asks the nurse if the pain will ever go away. The nurse should make which best response to the child
I know it must hust, but if you tell me when it does, i will try to make it hurt a little less
A 3 year old child with 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
I should discard any unused food and formula immediately
The nurse is preparing to administer an MMR vaccine to a 15 month old child. Before administering the vaccine, which question should the nurse ask the mother of the child
Is the child allergic to any abx
The mother with HIV infection brings her 10 month old infant to the clinic for a routine checkup. The pediatrician 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 an HIV infection. The nurse should make which most appropriate response to the mother
Most children infected with HIV develop symptoms within the first 9 months of life and some become symptomatic sometime before they are 3 year old
A pediatrician prescribed lab studies for an infant of a woman positive for HIV. the nurse anticipates that which lab study will be prescribed for the infant
P24 antigen assay
The nurse is caring for a child with AIDS and notes the presence of mouth sores. The nurse provides instructions to the mother regarding maintaining adequate nutrition intake in the child. Which statement by the mother indicates a need for further teaching
Salty foods are important to maintain an appropriate sodium level in the child
The nurses reviewed the immunization schedule for a child with HIV infection with the mother. Which instruction should the nurse provide to the mother
The child and siblings will need to receive inactivated polio vaccine
The clinic nurse is instructing the parent of a child with HIV infection regarding immunizations. The nurse should provide which instruction to the parent
The inactivated influenza vaccine will be given yearly
The nurse is reviewing the lab results of studies on a 4 month old infant and notes that the HIV antibody test is positive. How should the nurse interpret this test result
The mother is infected with the HIV virus
A CD4+ count has been prescribed for a child with HIV infection. Th enruse has explained to the mother the purpose of the blood test. Which comment by the mother indicates the need for further explanation
This test identifies the specific dx of HIV infection
The nurse is caring for a child with a dx of neutropenia. Which nursing interventions are most appropriate for a child placed in protective isolation for neutropenia SATA a) Place the child on a low-bacteria diet b) Change dressings using sterile technique c) Put flowers in a vase with water before placing in the room d) Peel fruits and vegetables before allowing the child to eat them e) Allow individuals who are ill to visit as long as they wear a mask
a, b, d
A child is admitted to the pediatric unit with a dx of acute stage Kawasaki disease. Which assessment findings by the nurse are characteristic of this disorder SATA a) Red throat b) Cracking lips c) Conjunctival hyperemia d) Desquamation Of the skin e) Enlargement of the cervical lymph node
a, c, e
The nurse is providing instructions to the mother of a child who has been exposed to HIV. the nurse should include notifying the HCP if which symptom occurs in the child
coughing
An infant of a mother infected with HIV is seen in the clinic each month and is being monitored for symptoms indicative of HIV infection. With knowledge of the most common opportunistic infection of child infected with HIV, the nurse assesses the infant for which sign
immune
