CH42 NURSING CARE OF A FAMILY WHEN A CHILD HAS AN IMMUNE DISORDER
The nurse is preparing to administer subcutaneous epinephrine hydrochloride (Adrenalin) 0.01 mg/kg to a child weighing 88 lb. How many milliliters of the medication will the nurse provide? (Numeric value only. Calculate to the10th decimal point.) Ans: 0.40 mg
0.40MG
A newborn weighing 6.6 lb is prescribed zidovudine (ZDV) 2 mg/kg every 6 hours to reduce the risk of maternal transmission of HIV. The pharmacy prepares an infusion of 1,000 mg of the medication in 1 L of 0.9% normal saline. How many milliliters of the medication will the nurse infuse for each dose? (Numeric value only
6ML
A child is experiencing anaphylactic shock. Which nursing action is a priority? A) Facilitate breathing. B) Counteract hypertension. C) Enhance the action of histamine. D) Reverse sympathetic nervous system responses.
A
The nurse is helping the parents of a toddler identify foods that are causing allergic symptoms in the child. Which strategy should the nurse encourage the parents to use? A) Elimination diet B) Hyposensitivity testing C) Corticosteroid challenge testing D) Complete dietary protein restriction
A
The nurse is planning a program for community members that focus on the 2020 National Health Goals for allergies and immunologic functioning. What content should the nurse include in this program? (Select all that apply.) A) Promote following safe sexual practices. B) Discourage the use of intravenous substances. C) Discuss the role of sexual relations in HIV transmission. D) Explain how certain foods promote immunologic compromise. E) Encourage parents to discuss the air quality in the schools with the school district.
A,B,C,E
The nurse is caring for a child diagnosed with category B HIV. What should the nurse expect to review in this patient's medical history? (Select all that apply.) A) Pneumonia B) Herpes zoster C) Kaposi sarcoma D) Cardiomyopathy E) Positive tuberculosis test
A,B,D
The nurse is teaching the parents of a child with multiple environmental allergies on ways to control allergens in the home. What should the nurse include in these instructions? (Select all that apply.) A) Remove all carpeting. B) Install a dehumidifier in the home. C) Consider having fish as pets instead of a dog or cat. D) Remove stuffed toys unless filled with synthetic material. E) Replace furniture with upholstered chairs and sofas for sitting.
A,B,D
The health care provider instructs the parents of a toddler with allergies to avoid secondary smoke. What teaching should the nurse provide to assist these parents? (Select all that apply.) A) Frequent smoke-free establishments. B) Declare the home and car smoke-free zones. C) Spray air freshener in the room after smoking. D) Ask individuals who smoke to smoke out of doors. E) Encourage family and friends to begin quit-smoking programs.
A,B,D,E
The nurse is reviewing the immunization schedule with the mother of a child who has HIV. What information should the nurse provide the mother about immunizations for this child? (Select all that apply.) A) Pneumococcal vaccination can be given. B) The child should receive live vaccines only. C) The human papillomavirus vaccine should not be given. D) The varicella vaccine should not be given if the child is symptomatic. E) If the CD4 count is low, the measles, mumps, and rubella vaccine should not be given.
A,D,E
A 6-month-old baby diagnosed with atopic dermatitis has been receiving treatment by the parents. Which approach that the parents are using indicates that additional health teaching is necessary? A) After a bath, the mother applies Eucerin cream. B) To dry lesions, the father applies alcohol to lesions daily. C) The mother gives the baby a daily bath without using soap. D) To aid healing, the father applies hydrocortisone cream to the lesions
B
The nurse is caring for a preschool-age child who has been seen in the emergency department for an allergic reaction to stinging insects twice in the last month. What should the nurse instruct the parents to help reduce the child's exposure to insects? A) Keep the child's hair short. B) Keep the child away from the trash. C) Use lightly scented powders and lotions. D) Avoid going outdoors during the heat of the day.
B
The nurse is preparing educational materials for a group of new parents about allergic reactions. Which specific immunoglobulin should the nurse emphasize as being responsible for these types of reactions? A) IgA B) IgE C) IgG D) IgM
B
Which nursing diagnosis should the nurse use to guide care for a child with allergic rhinitis? A) Risk for fluid volume deficit B) Pain related to sinus edema and headache C) Ineffective tissue perfusion related to frequent nosebleeds D) Disturbed self-esteem related to inherited tendency for illness
B
A child with allergic rhinitis is prescribed a nasal antihistamine spray. When advising the parents about the use of the sprays, what should the nurse explain about the rebound phenomenon? A) It causes a permanent increase in nasal secretions. B) It causes reflux of gastric contents into the esophagus. C) It causes an increase in nasal secretions after an initial decrease. D) It causes a decrease in histamine release after an initial increase
C
A preschool-age child is being seen for a rash that occurred after the mother applied a sunscreen prior to permitting the child to swim at the beach. For which type of allergic reaction should the nurse prepare teaching materials for the mother? A) Autoimmunity B) Atopic dermatitis C) Contact dermatitis D) Delayed hypersensitivity
C
