The nurse is reviewing the immunization schedule with the parent of a child who is positive for human immunodeficiency virus (HIV). What statement by the parents indicates that teaching has been effective?

"The varicella vaccine should be withheld if my child is symptomatic of their illness."

"The vaccination schedule does not apply to my child."

"The pneumococcal (PCV) vaccine should be delayed until my child's first birthday."

"The human papillomavirus (HPV) vaccine is contraindicated for my child."

Answer and Explanation

The Correct Answer is A

A. The varicella vaccine, which is a live attenuated vaccine, may be withheld if the child is symptomatic of their illness or has a significantly compromised immune system. This is due to the increased risk of severe reactions or complications in immunocompromised individuals.

B. The vaccination schedule is still applicable to children with HIV, but there may be adjustments based on the child’s immunocompetence and specific health status.

C. The pneumococcal vaccine is recommended for children with HIV and is typically administered according to the standard schedule, not delayed until the first birthday.

D. The HPV vaccine is generally recommended for children with HIV, as they are at increased risk for HPV-related complications. It is not contraindicated.

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Correct Answer is D

Explanation

A. There is no need to notify the provider if urine output is within the normal range.

B. Oral rehydration may not be necessary if the child is adequately hydrated.

C. A bladder scan is not required if the urine output is within the normal range.

D. Continue to monitor the client as the urine output is within the normal range. For a 3-year-old child (15 kg), normal urine output is 1-2 mL/kg/hr. This child’s output is approximately 1.3 mL/kg/hr, which is normal.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

High dose intravenous immunoglobulins: Kawasaki disease is characterized by a prolonged fever, rash, and systemic inflammation. The first-line treatment for Kawasaki disease includes high-dose intravenous immunoglobulins (IVIG), which help reduce inflammation and prevent coronary artery damage.

Aspirin is used in the management of Kawasaki disease to address inflammation and reduce fever. It is also used to prevent coronary artery complications, as it has antiplatelet effects that help mitigate the risk of thrombus

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The nurse is reviewing the immunization schedule with the parent of a child who is positive for human immunodeficiency virus (HIV). What statement by the parents indicates that teaching has been effective?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hour period. The child weighs 33 lb. After calculating the client's urinary output, which action is appropriate?

Correct Answer is D

Explanation

A nurse is caring for an 18-month-old toddler in the emergency department. Exhibits The nurse reviews the toddler's medical record and assessment findings. The nurse should anticipate a healthcare provider's prescription for dropdown and dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

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