A nurse is planning care for a child with human immunodeficiency virus (HIV). Which nursing diagnosis is the highest priority for this child?

Ineffective tissue perfusion

Risk for infection

Risk for fluid volume deficit

Ineffective thermoregulation

Answer and Explanation

The Correct Answer is B

a) Ineffective tissue perfusion: Though this might be a concern, the highest priority for an HIV-positive child is the risk of acquiring infections due to compromised immunity.

b) Risk for infection: HIV weakens the immune system, significantly increasing the risk of contracting infections. Preventing infections is the primary focus.

c) Risk for fluid volume deficit: While important, it's not the highest priority compared to the risk of infection due to HIV.

d) Ineffective thermoregulation: Not typically the primary concern for an HIV-positive child compared to the increased risk of infections due to the compromised immune system.

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Correct Answer is D

Explanation

a) Centrism: The tendency to focus on only one aspect of a situation is more characteristic of Piaget's preoperational stage (2-7 years).

b) Transudative

c) Conservation: The understanding that quantity remains the same despite changes in shape or arrangement. This typically develops later in Piaget's concrete operational stage (7-11 years).

d) Object permanence: Refers to the understanding that objects continue to exist even when they are not within view. This is a major developmental milestone that typically emerges around 8 to 9 months of age.

A. The nonbiological father from the heterosexual father cohabitating with the family B. the divorced father from the binuclear family C. the stepfather from the blended family D. the divorced father when the single parent mother has custody

Correct Answer is B

Explanation

a) The nonbiological father from the heterosexual father cohabitating with the family: While he may have a close relationship, legal consent might not be automatically granted without legal documentation or permission.

b) The divorced father from the binuclear family: the divorced father from a binuclear family can consent to treatment since he is a biologic parent to the baby.

c) The stepfather from the blended family: Emergency medical consent might require legal documentation or guardianship unless specifically granted through legal means.

d) The divorced father when the single parent mother has custody: Unless specified in custody documents, emergency medical consent might still require the custodial parent's approval or both parents' consent.

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A nurse is planning care for a child with human immunodeficiency virus (HIV). Which nursing diagnosis is the highest priority for this child?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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