NUR 236 PrepU Chapter 47: Nursing
Care of the Child With an Alteration in
Immunity/Immunologic Disorder
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? - correct answer ✔✔Contact the health care provider to request treatment.
A pediatric client is newly diagnosed with a stinging-insect allergy. Which advice is most appropriate for
the nurse to provide this client's parent? - correct answer ✔✔"Obtain your child a medical alert ID
bracelet so the presence of the allergy can be identified easily."
The nurse is explaining patterns of incidence and transmission of HIV to a group of adolescent girls. She
explains that the risks for this population are much higher because of the possibility of both vertical and
horizontal transmission. Horizontal transmission refers to transmission of the disease during: - correct
answer ✔✔sexual contact.
The nurse is preparing a care plan for a 4-year-old client newly diagnosed with severe combined immune
deficiency. What is the priority goal for this client? - correct answer ✔✔The client will remain free from
infection.
The nurse is providing teaching about food substitutions when cooking for the child with an allergy to
eggs. Which response indicates a need for further teaching? - correct answer ✔✔"I can use the egg
white when baking, but not the yolk."
A nurse is providing education to pregnant women diagnosed with HIV. Which statement indicates the
need for further teaching? - correct answer ✔✔Pregnancy will accelerate the progression of the disease.
The nurse is teaching the parents of a child with a suspected diagnosis of juvenile idiopathic arthritis
about the disease. Which statement by the parents demonstrates the need for further teaching? -
correct answer ✔✔"If our child does not have a positive rheumatoid factor, our child does not have the
disease."
, The nurse is caring for a child with HIV. The doctor will most likely order which test to monitor the child's
progress? - correct answer ✔✔lymphocyte immunophenotyping T-cell quantification
The nurse is providing education regarding 2030 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? - correct answer ✔✔Provide education to sexually active females about
proper condom usage.
The nurse is monitoring the CD4 count of an infant who has contracted HIV from the mother in utero.
The nurse is concerned that treatment with antiretroviral therapy is not effective when noting which CD4
level? - correct answer ✔✔1300/mm3
The most accurate screening test for the presence of HIV antigen in young children is: - correct answer
✔✔polymerase chain reaction (PCR).
The nurse is working with a pregnant client who is HIV positive and has been prescribed oral zidovudine.
Which statement by the nurse explains the primary rationale for taking this medication? - correct answer
✔✔"It is to help prevent transmission of the disease to your infant."
The nurse is caring for a child who is receiving a skin test to determine the presence of allergies. A
positive skin test for one particular allergen shows the mediation of which type of immune globulin? -
correct answer ✔✔IgE
Food allergies have become more and more common in the last few decades. What are some common
food allergies of childhood? Select all that apply. - correct answer ✔✔Eggs
Peanuts
Milk
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. - correct answer ✔✔Eggs
Shrimp
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