prep u 42 (1) copy.docx - Question 1 See full question The nurse is caring for a child undergoing highly active antiretroviral therapy(HAART for HIV

prep u 42 (1) copy.docx - Question 1 See full question The...

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Question 1 See full question The nurse is caring for a child undergoing highly active antiretroviral therapy (HAART) for HIV infection. The nurse is preparing to administer the prescribed medication. In addition to the nucleoside analog reverse transcriptase inhibitors (NRTIs) and the nonnucleoside analog reverse transcriptase inhibitors (NNRTIs), the nurse is cognizant that the child will be taking which additional medication as part of the three-drug regimen? You Selected: Cytotoxic drugs Correct response: Protease inhibitors Explanation: The nurse understands that the child will be taking protease inhibitors as part of the three-drug regimen for HAART. Corticosteroids, cytotoxic agents, and DMARDs are typically used for the treatment of juvenile idiopathic arthritis (JIA). Reference: Pillitteri, A. Maternal and Child Health Nursing , 7 th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter42: Nursing Care of a Family When a Child Has an Immune Disorder, p. 1232. Chapter 42: Nursing Care of a Family When a Child Has an Immune Disorder - Page 1232 Question 2 See full question The school nurse is walking through the lunchroom when one of the children says she started to feel strange after trading lunches with a friend. Which assessment would be most important? You Selected: Determining if her throat itches Correct response: Determining if her throat itches Explanation: Asking if the child's throat itches is most important because this aids in determining airway patency, which is always the priority. Asking about a rash, nausea, or abdominal pain can be done after the nurse is certain the child's airway is not jeopardized. Reference:
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Pillitteri, A., Maternal and Child Health Nursing , 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Ch. 42: Nursing Care of a Family When a Child Has an Immune Disorder, pp. 1235, 1239. Question 3 See full question A child with primary immune deficiency is about to receive an infusion of IVIG. What is the most appropriate premedication to minimize the reaction? You Selected: Solu-Medrol Correct response: Diphenhydramine Explanation: Diphenhydramine and acetaminophen are the most commonly used medications for this purpose. Nonsteroidals and steroids typically are not used for this indication. Reference: Pillitteri, A., Maternal and Child Health Nursing , 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Ch. 42: Nursing Care of a Family When a Child Has an Immune Disorder, p. 1240. Chapter 42: Nursing Care of a Family When a Child Has an Immune Disorder - Page 1240 Question 4 See full question A nurse is teaching a child with allergies and his parents about his prescribed therapy with diphenhydramine. The nurse determines that the teaching was successful when the child and parents identify which of the following as a possible adverse effect? Select all that apply.
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  • Spring '17
  • Acevedo
  • Child Health Nursing

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