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."
The Correct Answer is A
A. This statement demonstrates an understanding of the increased risk of tuberculosis in individuals with HIV and the importance of regular screening. Tuberculosis is a common opportunistic infection in individuals with HIV, and regular testing is essential for early detection and treatment.
B. While starting antiretroviral therapy such as zidovudine is important for managing HIV, it does not immediately decrease the risk of transmission. It takes time for viral load suppression to occur and for the risk of transmission to decrease significantly.
C. Doubling medications without healthcare provider guidance could lead to incorrect dosing and potential harm. HIV medications should be taken exactly as prescribed by the healthcare provider.
D. Childhood immunizations are essential for preventing other infectious diseases but may need to be adjusted based on the child's immune status and specific recommendations from the healthcare provider. The statement does not address the immediate concern of managing HIV.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Inspecting the epiglottis is contraindicated in suspected cases of epiglottitis as it may trigger laryngospasm and compromise the airway.
B. Obtaining a throat culture may be indicated to confirm the presence of Haemophilus influenzae type B but is not an immediate priority in the management of epiglottitis.
C. Monitoring oxygen saturation is crucial as respiratory distress and hypoxia are common complications of epiglottitis.
D. Beginning droplet precautions is important to prevent the spread of the infectious agent to others.
E. Initiating IV access is necessary for administering fluids and medications, as well as for potential airway management in severe cases of epiglottitis.
Correct Answer is C
Explanation
A. Allowing the infant to self-soothe by crying prior to feeding is not appropriate, as it may lead to increased stress and fatigue, which can worsen heart failure symptoms.
B. Placing the infant in an upright position during feeding helps to reduce the risk of aspiration and promotes effective swallowing.
C. Infants with heart failure have a weakened heart that struggles to pump blood efficiently. Feeding can be tiring for them, and they might not be able to consume large volumes at once. A smaller, more frequent feeding schedule allows them to take in enough calories without overexertion. This approach helps manage their energy expenditure and reduces stress on the heart.
D. While some infants might take longer to feed, heart failure can make feeding tiring. Offering smaller, more frequent feedings can help the infant consume enough calories without expending too much energy.
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