Peds Exam

The nurse is caring for an 8-year-old girl with an endocrine disorder involving the posterior pituitary gland. What care would the nurse expect to implement?

Teaching the parents how to administer the desmopressin acetate

The nurse is assessing a 13-year-old boy with type 2 diabetes mellitus. What would the nurse correlate with disorder?

The parents report that their son "can't drink enough water."

The nurse is assessing a 13-year-old boy with type 2 diabetes mellitus. What would the nurse correlate with disorder? A) The parents report that their child had "a cold or flu" recently. B) Blood pressure is decreased when checking vital signs. C) The parents report that their son "can't drink enough water." D) Auscultation reveals Kussmaul breathing.

The parents report that their son "can't drink enough water."

The nurse is taking a history on a 10-year-old child who has a diagnosis of hypopituitarism. Which question is important for the nurse to ask the parents?

What time each day does your child take his growth hormone?"

A client with suspected human immunodeficiency virus (HIV) has had two positive enzyme-linked immunosorbent assay (ELISA) tests. What diagnostic test would be run next? -ELISA -Western Blot -T4/T8 ratio -Polymerase chain reaction

- Western Blot

A nurse is describing to parents of a child with allergies the events of a type I hypersensitivity reaction. What would the nurse describe as being responsible for vessel congestion and edema.

Histamine Leukotrienes

The nurse is assessing a 9-year-old girl with a history of tuberculosis at age 6 years. She has been losing weight and has no appetite. The nurse suspects Addison disease based on which assessment findings? A) Arrested height and increased weight B) Thin, fragile skin and multiple bruises C) Hyperpigmentation and hypotension D) Blurred vision and enuresis

Hyperpigmentation and hypotension

A 7-year-old child who has type 1 diabetes mellitus is at school reportin a headache and dizziness. The school nurse notices sweat on the child's face. What should the nurse do first?

Offer the child 8 ounces of juice or soda

A child has been prescribed Stimate (esmopressin) acetate for the treatment of diabetes insipidus. The client and the parents ask the nurse how this drug works. What is the correct response by the nurse?

Stimate (esmopressin) acetate is a synthetic antidiuretic hormone that will slow down your urine output

A child with diabetes insipidus is being treated with vasopressin. The nurse would assess the child closely for signs and symptoms of which condition?

Syndrome of inappropriate antidiuretic hormone (SIADH)

The nurse working with the child diagnosed with type 2 diabetes mellitus recognizes that most often the disorder can be managed by:

Taking oral hypoglycemic agents

The nurse is talking with a group of teens about transmission of human immunodeficiency virus (HIV). What body fluids does the nurse inform them will transmit the virus? Select all that apply. -semen -urine -breast milk -blood -vaginal secretions

-semen -breast milk -blood -vaginal secretions

Which client will the nurse assess first after receiving shift report? A client with serum sickness stating, "I just feel bad all over." A client with contact dermatitis who has blisters and mild edema on the lower extremities A client with human immunodeficiency virus (HIV) whose temperature is 102.2°F (39°C) A client newly diagnosed with allergic rhinitis prescribed loratadine 10 mg

A client with human immunodeficiency virus (HIV) whose temperature is 102.2°F (39°C)

A nurse should recognize that which laboratory result would be most consistent with a diagnosis of diabetes mellitus?

A fasting blood glucose greater than 126 mg/dl

The nurse is interviewing the caregivers of a child admitted with a diagnosis of type 1 diabetes mellitus. The caregiver states, "She is hungry all the time and eats everything, but she is losing weight." The caregiver's statement indicates the child most likely has:

Polyphagia

Which findings should the nurse expect to assess when completing the health history of a child admitted for possible type 2 diabetes? Select all that apply.

Polyuria Polydipsia Polyphagia

The nurse is caring for a 6-month-old infant whose mother tested positive for HIV during her pregnancy. The infant had a positive polymerase chain reaction (PCR) for HIV at birth. Which medication would be prescribed for the prevention of pneumocystis pneumonia (PCP)?

Trimethoprim-sulfamethoxazole (TMP-SMZ)

A mother, who is HIV positive, is distraught when she learns that her 6-month-old baby is also human immunodeficiency virus (HIV) positive. The child had undergone open heart surgery as a newborn and had received numerous blood transfusions. The nurse recognizes that the most likely means of transmission of the disease to this child was:

placental spread during pregnancy

A pregnant client who is HIV positive asks the nurse if she will be able to breastfeed the newborn. Which response by the nurse is most appropriate? "You should speak to your primary health care provider about breastfeeding. ""Breastfeeding passes protective immunity along to your newborn." "Breastfeeding will increase your newborn's risk of contracting HIV." "Since your newborn will have HIV it is okay for you to breastfeed."

"Breastfeeding will increase your newborn's risk of contracting HIV."

The parent of a school-age child comments to the nurse, "Every time my child eats enchiladas at our local Mexican restaurant he gets a rash. It just doesn't make sense to me." How should the nurse respond?

"Has your child ever been tested for a peanut allergy?"

The nurse is doing teaching with a group of caregivers of children diagnosed with diabetes mellitus. The nurse is explaining insulin shock and the caregivers make the following statements. Which statement indicates the best understanding of a reason an insulin reaction might occur?

"He measures his own medication but we watch closely to make sure he gets the correct amount so he doesn't have an insulin reaction."

A nurse who is caring for a 7-year-old is providing patient teaching to the child and caregiver. Which response by the caregiver demonstrates to the nurse that the caregiver understands the diagnosis of type 1 DM?

"Her body doesn't have any insulin."

The nurse is teaching a 12-year-old girl with type 2 diabetes mellitus and her parents about dietary measures to control her glucose levels. Which comment by the child indicates a need for additional teaching?

"I can eat two small cookies with each meal."

The nurse is providing a class for a group of child care providers. When discussing allergic reactions, which statement by a participant indicates the need for further instruction? "Allergic reactions can happen hours after eating something." "In addition to hives some children may also have vomiting and diarrhea when having an allergic reaction to a food." "Most allergic reactions will happen within a few minutes of eating a problematic food." "If a child has previously eaten a food and not had a reaction they are not 'truly' allergic to it.

"If a child has previously eaten a food and not had a reaction they are not 'truly' allergic to it

The mother of a child with a possible food allergy asks the nurse for information about how to test for it. What response by the nurse would be most accurate?

"The best way is to eliminate the food from the diet and then look for improvement."

The nurse is providing instructions to the parents of a child with a severe peanut allergy. Which statement by the parents indicates a need for further teaching about the use of an epinephrine auto-injector?

"The epinephrine auto-injector should be jabbed into the upper arm."

A woman infected with HIV comes into the clinic. What symptoms may be the focus of a medical complaint in women infected with HIV? - Rashes on the face, trunk, palms, and soles - Muscle and joint pain - Gynecologic problems -Weight loss

- Gynecologic problems

A client who is HIV positive is experiencing severe diarrhea. Which laboratory test result would the nurse expect to find? -Urine specific gravity of 1.010 -Hypernatremia -Hypokalemia -Proteinuria

- Hypokalemia

A 16-year-old has just been diagnosed with HIV. Which statement by the parent indicates understanding of the diagnosis? "Infections as a result of being HIV positive are a low risk since the diagnosis came early." "I must be infected with HIV and passed it to our child while in the uterus for the infection to have occurred." "It is important for our child to get started on drug therapy for a better chance of a cure of the infection." "We don't want to face the fact that it is likely our child contracted HIV through sexual contact or IV drug use."

"We don't want to face the fact that it is likely our child contracted HIV through sexual contact or IV drug use.

The nurse is reviewing the medical history of a 4-year-old child. What would the nurse identify as potentially indicative of a primary immunodeficiency? Select all that apply.

- Acute otitis media, one episode every 3 to 4 weeks over the past year. - Recurrent deep abscess of the thigh - Oral thrush, persistent over the past 6 to 7 months

When assisting the patient to interpret a negative HIV test result, the nurse informs the patient that the results mean which of the following? -Antibodies to HIV are not present in his blood. -He has not been infected with HIV. -He is immune to HIV. -Antibodies to HIV are present in his blood.

- Antibodies to HIV are not present in his blood.

A patient in the clinic states, "My boyfriend told me he went to the clinic and was treated for gonorrhea." While testing for the sexually transmitted infection (STI), what else should be done for this patient? -Test for HIV without informing the patient. -Test for HIV, requiring the patient to sign a permit. -Inform the patient that it would be beneficial to test for HIV. -Administer treatment for the STI and discharge the patient.

- Inform the patient that it would be beneficial to test for HIV.

HIV is harbored within which type of cell? -Lymphocyte -Platelet -Erythrocyte -Nerve

- Lymphocyte

The balance between the amount of HIV in the body and the immune response is the: -Viral set point -Viral load test -Window period -Anergy

- Viral set point

When do most perinatal HIV infections occur? -Through breastfeeding -In utero -After exposure during delivery -Through casual contact

-After exposure during delivery

Which of the following is the first barrier method that can be controlled by the woman? -Female condom -IUD -Diaphragm -Birth control pills

-Female condom

When learning about HIV/AIDS, the student should be able to differentiate the two subtypes of virus by which characteristic? -means of transmission -HIV-1 is more prevalent than HIV-2 subtypes -the fact that it is a mutated virus originally thought to be bovine in nature -cure rate

-HIV-1 is more prevalent than HIV-2 subtypes

A patient had unprotected sex with an HIV-infected person and arrives in the clinic requesting HIV testing. Results determine a negative HIV antibody test and an increased viral load. What stage does the nurse determine the patient is in? -Primary infection -Secondary infection -Tertiary infection -Latent infection

-Primary infection

In a child with diabetes insipidus, which characteristic would most likely be present in the child's health history?

Abrupt onset of polyuria Nocturia Polydipsia

The school nurse notes that a child diagnosed with diabetes mellitus is experiencing an insulin reaction and is unable to eat or drink. Which action would be the most appropriate for the school nurse to take?

Administer subcutaneous glucagon.

The parents of a child who was diagnosed with diabetes insipidus ask the nurse, "How does this disorder occur?" When responding to the parents, the nurse integrates knowledge that a deficiency of which hormone is involved?

Antidiuretic hormone

Diabetes insipidus is a disorder of the posterior pituitary that results in deficient secretion of which hormone?

Antidiuretic hormone (ADH)

The parents of a 3-month-old infant report concerns the infant is irritable, feeds poorly, and has a rash. The nurse notes weeping, crusty lesions on the infant's cheeks and neck. Which action by the nurse is most appropriate?

Contact the health care provider to request treatment.

The nurse is providing teaching for the parents of a child with a latex allergy. The nurse tells the client to avoid which food?

Bananas

The nurse is caring for a child being evaluated for diabetes insipidus. Which tests will likely be included in the diagnostic workup for this condition? Select all that apply.

CT scan skull MRI of kidney region Urinalysis

A newborn exhibits significant jittery movements, convulsions, and apnea. Hypoparathyroidism is suspected. What would the nurse expect to be administered?

Calcium gluconate

The nurse is explaining to a parent that many "Summer colds" are actually cases of allergic rhinitis. What are typical S/S of allergic rhinitis?

Clear, watery nasal drainage Frontal HA Blackened areas under the eyes

A nurse is caring for an infant whose mother is human immunodeficiency (HIV) positive. The nurse knows that which diagnostic test result will be positive even if the child is not infected with the virus?

Enzyme-linked immunosorbant assay (ELISA)

A child is diagnosed with a food allergy to milk. When teaching the parents about this allergy, what would the nurse suggest as possible substitutions?

Fruit juice Soy Milk Rice Milk

After hospital discharge, the parent of a child newly diagnosed with type 1 diabetes mellitus telephones the nurse because the child is acting confused and very sleepy. Which emergency measure would the nurse suggest the parent carry out before bringing the child to see the health care provider?

Give the child a glass of orange juice

The nurse is caring for a school-age child recently diagnosed with an allergy to peanuts. Which nursing action is a priority?

Include the child when discussing foods that contain peanuts.

The student nurse is reviewing the medical record of a child with diabetes insipidus. What information found provides support for diagnosis? Select all that apply.

Increased urination Dehydration Decreased urine osmolality

The nurse is caring for an 8-year-old girl with hyperpituitarism. What ordered treatment will the nurse expect to perform?

Inject octreotide acetate

The nurse is providing education regarding 2020 Health Goals to reduce the incidence of acquired immunodeficiency syndrome (AIDS) within the community. Which goal will the nurse choose as a primary prevention strategy?

Provide education to sexually active females about proper condom usage.

What should be included in the teaching plan for a child with type 1 diabetes mellitus who is going home on insulin therapy?

It is absolutely normal for the growing child to require an increase in insulin; this does not mean his/her condition is getting worse.

The nurse is examining to the parents of a newborn some steps they can take to minimize the development of allergies. What would be included in this education process?

Keep the room dust free Use laundry solutions that have as few chemicals as possible Avoid perfumes and room fresheners

A nursing is providing education to pregnant women diagnosed with HIV. Which statement indicates the need for further teaching?

Pregnancy will accelerate the progression of the disease.

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 non nucleoside analog reverse transcriptase inhibitors (NNRTIs) the nurse is cognizant that the child will be taking what additional medication as part of the 3-drug regimen?

Protease inhibitors

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? Cytotoxic drugs Corticosteroids Disease-modifying anti rheumatic drugs (DMARDs) Protease inhibitors

Protease inhibitors

The nurse is instructing a group of women of childbearing age about human immunodeficiency virus (HIV) during pregnancy. What would be a priority recommendation in this setting?

Screening for HIV

Which of the following is inconsistent with the mode of transmission of HIV? Blood Sexual contact Skin contact Mother-to-infant transmission

Skin contact

Which immune cells are disrupted when a child is infected with human immunodeficiency virus (HIV)? Select all that apply. B cells T cells Erythrocytes Platelets Phagocytes

T cells B cells Phagocytes

A child presents to the primary care setting with enuresis, nocturia, increased hunger, weight loss, and increased thirst. What does the nurse suspect?

Type 1 diabetes mellitus

An elementary school child takes metformin three times each day. Which disorder would the school nurse expect the child to have?

Type 2 diabetes mellitus

A nurse is taking care of an infant with diabetes insipidus. Which assessment data are mostimportant for the nurse to monitor while the infant has a prescription for fluid restriction?

Urine output

Drug allergies can cause many types of symptoms. What might you expect to see in a child with a severe penicillin allergy?

Wheezing Urticaria Serum sickness

A nurse is providing care to a child with HIV who is prescribed therapy with a nucleoside reverse transcriptase inhibitor. What would the nurse expect to administer?

Zidovudine

A nurse is providing care to a child with HIV who is prescribed therapy with a nucleoside reverse transcriptase inhibitor. What would the nurse expect to administer? Zidovudine Efavirenz Nevirapine Ritonavir

Zidovudine

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

Zidovudine

The nurse is caring for a child with HIV currently taking zidovudine. Which statement by the parent would be the most concerning? "Sometimes my child vomits an hour after taking the dose of zidovudine." "My child reports a headache and strange taste in the mouth most days." "Zidovudine decreases the chance my child will transmit HIV to others." "I am not sure if it is normal for my child to have a tingling sensation."

Zidovudine decreases the chance my child will transmit HIV to others.

Kaposi sarcoma (KS) is diagnosed through -skin scraping. -biopsy. -visual assessment. -computed tomograpy

biopsy.

A child with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is to:

check vital signs

Testing & treatment for allergic rhinitis are typically determined by

how disruptive the symptoms are to the child

The nurse is caring for a child with HIV. The doctor will most likely order which test to monitor the child's progress? lymphocyte immunophenotyping T-cell quantification immunoglobulin electrophoresis complement assay (C3 and C4) IgG subclasses

lymphocyte immunophenotyping T-cell quantification

The nurse is caring for a client with HIV who is receiving abacavir for treatment. What signs and symptoms will require the nurse to notify the physician? Select all that apply. unusual bleeding drowsiness rash shortness of breath muscle weakness

muscle weakness shortness of breath rash unusual bleeding

Which is usually the most important consideration in the decision to initiate antiretroviral therapy? -CD4+ counts -HIV RNA -Western blotting assay -ELISA

- CD4+ counts

A nurse is giving a talk to high school students about preventing the spread of human immunodeficiency virus (HIV). What does the nurse identify as ways in which HIV is spread? Select all that apply.

- Exposure to blood and body fluids through sexual contact - Sharing contaminated needles - Transfusion of contaminated blood - Perinatally from mother to fetus - Through breastfeeding

A client with HIV will be started on a medication regimen of three medications. What drug will the nurse instruct the client about? -Protease inhibitor -Integrase inhibitors -Reverse transcriptase inhibitors -Hydroxyurea

- Reverse transcriptase inhibitors

A nurse is preparing a presentation for a group of new parents and is planning to discuss nutrition during the first year. As part of the presentation, the nurse is planning to address foods that should be avoided to reduce the risk of possible food allergies. Which foods would the nurse most likely include? Select all that apply.

- Shrimp - Peanuts - Eggs

A nurse is preparing an in-service presentation about human immunodeficiency virus (HIV) for a group of new graduate nurses. As part of the presentation, the nurse is planning to describe the events that occur once HIV enters the host cell. What would the nurse describe as the first step? -Cleavage -Budding -Attachment -Uncoating

- Attachment

The nurse is seeing a new client in the clinic who reports polyuria and polydipsia. These conditions are indicative of which endocrine disorder?

Diabetes insipidus

The nurse is developing a plan of care for a 7-year-old boy with diabetes insipidus. What is the priority nursing diagnosis?

Deficient fluid volume related to dehydration

The nurse is preparing a teaching plan for the family and their 6-year-old son who has just been diagnosed with diabetes mellitus. What would the nurse identify as the initial goal for the teaching plan? A) Developing management and decision-making skills B) Educating the parents about diabetes mellitus type 1 C) Developing a nutritionally sound, 30-day meal plan D) Promoting independence with self-administration of insulin

Developing management and decision-making skills

An adolescent is having an annual physical. The adolescent has a documented weight loss of 9 lb (4.08 kg). The parent states, "He eats constantly." Exam findings are normal overall, except that the child reports having trouble sleeping, and the child's eyeballs are noted to bulge slightly. Which interventions would the nurse perform based on these findings?

Discuss preparing for a thyroid function test.

A female client comes to the clinic and tells the nurse, "I think I have another vaginal infection and I also have some wartlike lesions on my vagina. This is happening quite often." What should the nurse consult with the physician regarding? -testing the client for the presence of HIV -instructing the client to wear cotton underwear -having the client abstain from sexual activity for 6 weeks while the medication is working -using a medicated douche in order to keep the vaginal pH normal

- Testing the client for the presence of HIV

Reproductive health education for women who are HIV-positive includes recommending which of the following contraceptives? -Oral estrogen contraceptives -An intrauterine device (IUD) -A diaphragm -The female condom

- The female condom

A client suspected of having human immunodeficiency virus (HIV) has blood drawn for a screening test. What is the first test generally run to see if a client is, indeed, HIV positive? -Western Blot-Schick -Enzyme-linked Immunosorbent assay (ELISA) -Complete blood count (CBC)

-Enzyme-linked immunosorbent assay (ELISA)

A nurse is to see a child. Assessment reveals the chief complaints of urinating "a lot" and being "really thirsty." The nurse interprets these symptoms as being associated with which condition?

Diabetes insipidus

A nurse is reviewing the medical record of an infant whose mother is HIV positive. Which factor in the maternal history would the nurse interpret as helping to decrease the infant's risk for HIV transmission? High maternal viral load Use of zidovudine therapy during pregnancy Coexistence of another sexually transmitted infection Low maternal CD4+ lymphocyte count

Use of zidovudine therapy during pregnancy

The nurse is providing client teaching regarding the administration of desmopressin acetate for the client diagnosed with diabetes insipidus. Which statements by the client or parents indicates understanding of the teaching? Select all that apply

"We will want to inspect the nares of our child to be sure the medication is not irritating the tissue. ""We will need to adjust the dose based on how much our child is urinating. ""I am going to have to carry a cooler with me if I am going to be gone all day or if I go on a long hike."

The nurse is gathering data from laboratory studies for a client who has HIV. The clients T4-cell count is 200/mm3, and the client has been diagnosed with Pneumocystis pneumonia. What does this indicate to the nurse? -The client has converted from HIV infection to AIDS. -The client has advanced HIV infection. -The client's T4-cell count has decreased due to the Pneumocystis pneumonia. -The client has another infection present that is causing a decrease in the T4-cell count.

-The client has converted from HIV infection to AIDS.

The nurse is preparing a teaching plan for a 10-year-old girl with hyperthyroidism. What information would the nurse include in the plan?

Explaining about the radioactive iodine procedure

The nurse is caring for a 3-year-old diagnosed with diabetes mellitus. The child's eating patterns are unpredictable. One day the child will eat almost nothing, the next day the child eats everything on her tray. The nurse recognizes that this type of insulin would most likely be used in treating this

Rapid-acting insulin

A child who has type 1 diabetes mellitus is brought to the emergency department and diagnosed with diabetic ketoacidosis. What treatment would the nurse expect to administer?

Regular insulin

Which diagnostic test measures HIV RNA in the plasma? -Viral load -Enzyme immunoassay -Enzyme-linked immunoassay -Western blotting assay

-Viral load

The nurse is caring for a client who has a diagnosis of human immunodeficiency virus (HIV). Part of this client's teaching plan is educating the client about his or her medications. What is essential for the nurse to include in the teaching of this client regarding medications? -The use of condoms -What vaccinations to have -Side effects of drug therapy -The action of each antiretroviral drug

-Side effects of drug therapy

The nurse has received morning report on a group of pediatric clients. Which pediatric client will the nurse see first? a child with IgA deficiency reporting rhinitis a child with HIV who reports feeling lethargic a child reporting coughing, itching, and anxiety a child reporting a vesicular rash with yellow crusts

a child reporting coughing, itching, and anxiety

The nurse is educating a child with a peanut allergy about the signs and symptoms of an anaphylactic reaction. The nurse realizes additional teaching is needed when the child identifies which sign/symptom?

Constipation

Nursing students are reviewing the pathophysiology of human immunodeficiency virus (HIV). They demonstrate understanding of the information when they state which of the following as containing the genetic viral material? -Deoxyribonucleic acid (DNA) -Ribonucleic acid (RNA) -Viral core -Glycoprotein envelope

-Ribonucleic acid (RNA)

After teaching a class of nursing students about acquired immunodeficiency, the instructor determines that the teaching was effective when the students identify what as a contributing factor? Select all that apply.

- Cancer - Immunosuppressive drugs - Malnutrition

A home care nurse is visiting a client with acquired immune deficiency syndrome (AIDS) at home. During the visit, the nurse observes the caregiver providing care. What action by the caregiver would alert the nurse to the need for additional teaching? -Caregiver washes hands before and after providing care to the client. -Caregiver cleans the client's anal area without wearing gloves -Caregiver disposes of syringe and needle in a metal coffee can with lid. -Caregiver uses a dilute bleach solution to clean up a urine spill.

- Caregiver cleans the client's anal area without wearing gloves

The nurse is gathering data from laboratory studies for a client who has HIV. The clients T4-cell count is 200/mm³, and the client has been diagnosed with pneumocystis pneumonia. What does this indicate to the nurse? -The client has converted from HIV infection to AIDS. -The client has advanced HIV infection. -The client's T4-cell count has decreased due to the pneumocystis pneumonia. -The client has another infection present that is causing a decrease in the T4-cell count

- The client has converted from HIV infection to AIDS.

The child has a peanut allergy and accidentally ate food that contained peanuts. Which clinical manifestations of anaphylaxis should the nurse expect to find? Select all that apply.

- The child states that his tongue feels "too big" for his mouth. - The child has developed hives on his face and trunk. - The child states he feels like he might "throw up". - The child states that he feels like he might faint.

A nurse is implementing appropriate infection control precautions for a client who is positive for human immunodeficiency virus (HIV). The nurse demonstrates a need for a review of transmission routes by identifying which body fluid as a means of transmission? -Urine -Semen -Blood -Breast milk

- Urine

The nurse administers an injection to a client with AIDS. When finished, the nurse attempts to recap the needle and sustains a needlestick to the finger. What is the priority action by the nurse? -Obtain counseling. -Call the lab to draw the nurse's blood. -Fill out a risk management report. -Report the incident to the supervisor.

- Report the incident to the supervisor.

A client with human immunodeficiency virus (HIV) develops a nonproductive cough, shortness of breath, a fever of 101°F and an O2 saturation of 92%. What infection caused by Pneumocystis jiroveci does the nurse know could occur with this client? -Mycobacterium avium complex (MAC) -Pneumocystis pneumonia -Tuberculosis -Community -acquired pneumonia

- Pneumocystis pneumonia