Nursing Care of the Child With an Alteration in Immunity/Immunologic Disorder. Exam Questions And Answers 100% Pass
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Course
Nursing Care
Institution
Nursing Care
Nursing Care of the Child With an Alteration
in Immunity/Immunologic Disorder. Exam
Questions And Answers 100% Pass
To avoid anaphylactic reactions in children, which question would be most important to ask a
parent before administering penicillin to her infant? - answer"Has she ever had penici...
Nursing Care of the Child With an Alteration
in Immunity/Immunologic Disorder. Exam
Questions And Answers 100% Pass
To avoid anaphylactic reactions in children, which question would be most important to ask a
parent before administering penicillin to her infant? - answer✔"Has she ever had penicillin
before?"
The nurse is caring for a 4-year-old girl with HIV. The girl is taking nucleoside analogue reverse
transcriptase inhibitors (NRTI) as part of a three-drug regimen. The nurse knows to monitor for
signs of a fatal hypersensitivity reaction that can occur with: - answer✔abacavir.
A nursing is teaching pregnant women with HIV about the possibility of infecting their fetuses.
Which statement indicates the need for further teaching? - answer✔Pregnancy will definitely
accelerate the progression of the disease.
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? - answer✔"The epinephrine auto-injector should be jabbed into the upper arm."
An epinephrine auto-injector should be jabbed into the outer thigh, as this is a larger muscle, at a
90 degree angle, not into the upper arm. The other statements are correct.
The nurse is administering Viramune (nevirapine) to an adolescent client diagnosed with HIV.
The client asks the nurse how this medication helps fight the HIV. How should the nurse
respond? - answer✔"The medication disrupts the virus life cycle of HIV. This prevents the
disease from progressing."
Viramune (nevirapine) is a nonnucleoside analog reverse transcriptase inhibitor (NNRTIs) that
binds to HIV-1 reverse transcriptase, blocking DNA polymerase activity and disrupting the virus
life cycle. It's used for treatment of HIV-1 infection as part of a three-drug regimen.
The parents of an adolescent tell the nurse, "Our child seems to have allergy symptoms every
time we visit our favorite cafe. I don't understand since the only allergy indicated in the testing
was to eggs?" How should the nurse respond? - answer✔"Does your child get a whipped cream
or foam topping on their favorite drink?"
Albumin, globulin, ovalbumin should be avoided if allergic to eggs. Some foam toppings for
drinks contain these substances and would cause an allergic reaction to the person allergic to
eggs. This would be important information to ascertain from the family as they would likely not
be aware of this.
The parents of a 10-year-old with HIV have never told their child that he has the virus. The child
asks the nurse why he is "on so many medications." What action should the nurse take? -
answer✔The nurse should encourage the child to talk with his parents about his medications
The nurse is providing family education about the administration of cyclosporine A. Which
response by the family indicates a need for further teaching? - answer✔"The medication is best
absorbed with the vitamin C in citrus juices."
Explanation:
Cyclosporine A should not be taken with grapefruit juice but it may be administered with dairy
products. While this medication is being used, the patient needs to be monitored for signs of
infection and adhere to the schedule for follow up blood tests to evaluate for complications.
The most accurate screening test for the presence of HIV antigen in young children is: -
answer✔PCR
PCR tests directly for the HIV antigen. ELISA and the Western blot test detect the presence of
HIV antibodies. The CD4 count is used as a measure of disease status and progression
An infant born to a mother who was HIV positive was tested at birth and found to be negative.
The infant is scheduled for follow up testing. Which test would the nurse expect to be
performed? - answer✔Polymerase chain reaction (PCR) test
Explanation:
The PCR is the preferred test to determine HIV infection in infants over 1 month of age. The
ELISA is positive in infants of HIV-infected mothers because of transplacentally received
antibodies. These antibodies may persist and remain detectable up to 24 months of age, making
the ELISA test less accurate at detecting HIV infection in infants and toddlers than the PCR. The
platelet count would provide no information about the infant's HIV status. CD4 counts would be
used to monitor HIV infection but not to confirm whether the infant is positive or negative for
the virus
The parents of a child with juvenile idiopathic arthritis bring the child to the emergency
department because the child is very drowsy and breathing heavily. The child also has been
vomiting and complaining of ringing in her ears. The nurse suspects that the child is
experiencing a toxic reaction to one of her medications. Which medication would the nurse
suspect? - answer✔Aspirin
Explanation:
The child is exhibiting signs and symptoms of aspirin toxicity. Corticosteroids would lead to
signs and symptoms of Cushing syndrome as well as masking the signs of infection.
Methotrexate would lead to changes in the white blood cell count, placing the child at risk for
infection. Etanercept, like methotrexate, places the child at risk for infection. (less)
Which nursing intervention is priority when caring for a child with HIV? - answer✔Administer
prescribed medications.
Explanation:
Although assisting with activities, assessing pain, and reviewing CD4 counts are all important,
the priority when caring for a child with HIV is to administer prescribed medications. Prescribed
medications prevent progressive deterioration of the immune system and provide prophylaxis
against opportunistic infections.
The nurse is assessing a child who is experiencing renal complications as a result of lupus.
Which finding is of the greatest concern? - answer✔Elevated blood pressure
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