Exam 25: Caring for the Child With an Immunological or Infectious Condition

A parent of a child suspected of having systemic lupus erythematosus (SLE)asks why so many blood tests are being done.Which response by the nurse is the most appropriate?

A nurse is caring for a 5-year-old child diagnosed with Wiskott-Aldrich syndrome.When reviewing today's laboratory results,which finding does the nurse correlate with this condition?

A nurse is educating a community group of parents about prevention of West Nile virus.Which information does the nurse include in the teaching session?

A patient is experiencing an anaphylactic reaction.Which IV solution does the nurse anticipate will be ordered for this patient?

A faculty member is discussing systemic lupus erythematosus (SLE)with a group of nursing students.Which pathophysiological process does the nurse describe as the major problem in this disorder?

A nurse is caring for an HIV-positive school-age child who is moderately malnourished.Which interventions are appropriate to include in this child's plan of care?

A nurse volunteers for a disaster relief program and has traveled to an area devastated by a natural disaster.All basic services have been disrupted.When counseling an HIV-positive mother,what is the priority for her 8-month-old infant?

An HIV-positive mother wants to return to work because she is feeling well after starting therapy for her disease.She has a 10-month-old infant.What does the nurse advise her when selecting a day care or care provider for her child,who also is HIV-positive?

The family practice nurse counsels parents to avoid giving their child salicylates for fever or mild pain.Which over-the-counter medications does the nurse warn about that contain this product?

A 4-month old baby was recently hospitalized with septicemia and now has a severe diaper rash.Which primary immunodeficiency disorder does the nurse suspect?

The pediatric charge nurse receives this report on an incoming admission: a 3-year-old boy with ear and jaw pain,bilateral parotid gland swelling,and mild dehydration.Which action by the charge nurse is most appropriate?

The pediatric clinic nurse assesses a child who reports swallowing problems and skin changes on the hands in response to cold exposure.Which other manifestations will the nurses assess for in this child?

A nurse is assessing a 7-year-old who has white patches inside his mouth.Which question by the nurse would be most helpful to ask?

A child with a primary immunodeficiency disorder had postimmunization titers drawn.The titers came back low.Which explanation does the nurse give the parents?

An 8-year-old child is in the clinic and is diagnosed with ringworm.Which medications does the nurse anticipate teaching the child and parents about?

A parent is refusing to have a child vaccinated,preferring to have the child contract the illness and develop "natural immunity." Which response by the nurse is best?

A nurse is caring for a patient taking lamivudine (Epivir).Which laboratory test is most important for the nurse to assess?

A child has been diagnosed with a localized herpes simplex virus (HSV)type 1 infection.The nurse is educating the parents on topical acyclovir (Zovirax)ointment.Which statement by the nurse is most appropriate to include during the medication teaching session?

A child has been hospitalized with rubella.Which action by the charge nurse is most appropriate?

A nursing student is learning about the immune system.Which statement about immunoglobulins is correct?