A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?

"I will ensure that my child is tested for tuberculosis every year."

"The risk of transmission decreases once my child is on zidovudine for 2 weeks."

"My child will need to double his medications for the next 6 months."

"My child will need to repeat his childhood immunizations once he is in remission."

Answer and Explanation

The Correct Answer is A

A.   A child with HIV is at increased risk of developing tuberculosis and should be screened annually.
B.   This is incorrect because the risk of transmission does not depend on the duration of zidovudine therapy, but on the viral load and the exposure to body fluids.
C.   Doubling medications is not a standard practice in HIV management and may lead to medication errors or adverse effects.
D.   Childhood immunizations are important for children with HIV, but they may need to be adjusted based on the child's immune status and treatment regimen, not just during remission.

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Correct Answer is C

Explanation

Rationale:
A. Visual analog scales rely on the child's ability to comprehend and interpret visual cues, which may be challenging for a cognitively impaired toddler.
B. FACES scales require the child to identify their pain level based on facial expressions, which may also be challenging for a cognitively impaired toddler.
C. FLACC (Face, Legs, Activity, Cry, Consolability) scales are specifically designed for non-verbal or cognitively impaired individuals, assessing pain based on observable behaviors such as facial expression, leg movement, activity level, cry, and ability to be consoled.
D. CRIES scales are primarily used for assessing pain in newborns and infants and may not be as applicable for a cognitively impaired toddler.

A. Inactivated polio virus B. Varicella C. Human papillomavirus D. Hepatitis B

Correct Answer is B

Explanation

A. The first dose of inactivated polio virus vaccine (IPV) is typically administered at 2 months of age, not 12 months.
B. The first dose of varicella vaccine is usually given at 12 months of age.
C. Human papillomavirus (HPV) vaccination typically begins around 11-12 years of age, not at 12 months.
D. Hepatitis B vaccination usually starts at birth, not at 12 months of age.

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A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?

Correct Answer is C

Explanation

A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?

Correct Answer is B

Explanation

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