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 B

Explanation

A. Limiting caffeinated beverages is a good strategy as caffeine can increase urine production and contribute to enuresis.

B. Limiting fluid intake during the day is not recommended as it can lead to dehydration. Instead, fluids should be limited in the evening before bedtime.

C. Waking the child at scheduled intervals to void is a common behavioral strategy to help manage enuresis.

D. Anticholinergic medications may be prescribed if behavioral strategies are ineffective, indicating that the parents have received proper education on this potential intervention.

A. Blood pressure of 136/92 mg B. Heart rate of 100 bpm C. Decreased urine output D. Tea-colored urine

Correct Answer is A

Explanation

A. Hypertension (blood pressure of 136/92 mm Hg) in a child with acute pyelonephritis can indicate a severe condition that may lead to renal damage or worsening kidney function. Immediate intervention is necessary to manage high blood pressure and prevent complications.

B. A heart rate of 100 bpm is within normal limits for a 7-year-old and does not require immediate action.

C. Decreased urine output is concerning and needs monitoring, but hypertension is the more urgent issue.

D. Tea-colored urine suggests hematuria or concentrated urine, which is important but not as immediately life-threatening as high blood pressure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has developed a plan of care for a family whose 7-year-old has been experiencing enuresis. Which of the following statements by the parents indicates that further teaching is needed?

Correct Answer is B

Explanation

A nurse is assessing a 7-year-old who has been diagnosed with acute pyelonephritis, what assessment finding requires immediate action by the nurse?

Correct Answer is A

Explanation

A nurse is admitting a pediatric client to the unit who has leukemia. Which client should the nurse place in the same room with this child?

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A nurse is closely monitoring a pediatric client following a tonsillectomy. Which finding would alert the nurse to a postoperative complication?

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A nurse is caring for a pediatric client who has been admitted with nephrotic syndrome. Which medication should the nurse expect to administer for the therapeutic management of nephrotic syndrome?

Which food suggestion would be most appropriate for the mother of a preschooler to ensure an adequate intake of calcium?

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