Chapter 47: Nursing Care of the Child With an Alteration in Immunity/Immunologic Disorder

The nurse is providing education to a 16-year-old who has recently been diagnosed with myasthenia gravis and her parents. What statements by the teen indicate an understanding of the information provided? Select all that apply.

"Getting a flu shot will be important." "It is important I avoid triggers." "I am going to incorporate a short nap into my daily routine."

The nurse is caring for a child with an elevated erythrocyte sedimentation rate, a hemoglobin level of 9.3 g/dL (93 g/L) and a positive antinuclear antibody. What would the nurse expect to identify when assessing this child? Select all that apply.

. The child reports stiffness in the joints that is worse in the morning. . Redness and warmth in affected joint. . Swelling noted in the affected joint.

A child allergic to insect stings presents to the school nurse stating, "A bee stung me on the playground." Which action by the nurse is priority?

Assess the client's airway and breathing rate

The registered nurse (RN) and unlicensed assistive personnel (UAP) are caring for a pediatric client with an immune disorder receiving a stem cell transplant. Which action by the UAP will cause the RN to intervene?

The UAP takes a rectal temperature on the client.

Which nursing intervention is priority when caring for a child with HIV?

Administer prescribed medications.

A pediatric client is admitted to the hospital. The primary health care provider suspects a problem with the child's immune system. The nurse anticipates preparing this client for which test initially?

serum blood testing