Deck 50: The Child With Alterations in Immune Function

Question 1

A child comes in to see the school nurse for a possible anaphylactic reaction to peanuts.Which drug should the nurse initially plan to administer to this child,if indicated?

A)Epinephrine through an EpiPen
B)Prednisone,immediately
C)Oxygen
D)Diphenhydramine (Benadryl)

Answer 1

Epinephrine through an EpiPen

Question 2

A nurse is planning care for a child with human immunodeficiency virus (HIV).The highest-priority nursing problem for this child is:

A)Risk for infection.
B)Risk for fluid volume deficit.
C)Ineffective thermoregulation.
D)Ineffective tissue perfusion,peripheral.

Answer 2

Risk for infection.

Question 3

Children with severe combined immune deficiency (SCID)often receive blood products.Any blood products administered to children with SCID who have T-cell deficiencies should be irradiated and cytomegalovirus-negative because of the risk of:

A)Transfusion reaction from lymphocytes and platelets in the donor blood.
B)Infection and graft-versus-host disease from lymphocytes in the donor blood.
C)Transfusion reaction and infection from lymphocytes in the donor blood.
D)Infection and graft-versus-host disease from erythrocytes in the donor blood.

Answer 3

Infection and graft-versus-host disease from lymphocytes in the donor blood.

Question 4

An adolescent has systemic lupus erythematosus (SLE).An action by the adolescent that indicates acceptance of body changes with SLE would be that the teen:

A)Refuses to attend school.
B)Doesn't want to attend any social functions.
C)Discusses the body changes with a peer.
D)Discusses the body changes with health care personnel only.

Question 5

A child is receiving didanosine,a nucleoside reverse transcriptase inhibitor,for human immunodeficiency virus (HIV).The lab value the nurse should monitor is:

A)Potassium.
B)Sodium.
C)Red blood cell count.
D)Glucose.

Question 6

A child with a myelomeningocele has a latex allergy.Which product found in the community should not be used by this child?

A)T-shirt appliqués
B)Mylar balloons
C)Elmer's school glue
D)Play dough

Question 7

A preschool-age child diagnosed with AIDS has developed respiratory compromise.Which technique would the nurse utilize to encourage effective lung expansion?

A)Incentive spirometry
B)Chest physiotherapy
C)Bubble blowing
D)Coughing and deep breathing

Question 8

The nurse is counseling the parents of a teen with HIV.Parents need to understand which of the following? Select all that apply.

A)The necessity of discussing the diagnosis with the teen
B)How the teen got HIV
C)Support groups available for themselves and their child
D)That their teen is dying and needs hospice care
E)Where to find emotional supports and outlets for fears,anxieties,and concerns

Question 9

A nurse has begun an infusion of intravenous immunoglobulin (IVIG)to a child who has combined immunodeficiency disease.The infusion should be stopped if the child:

A)Experiences a mild headache.
B)Voids clear yellow urine.
C)Develops severe shaking,chills,and fever.
D)Complains of being thirsty.

Question 10

A school-age child with juvenile arthritis asks the nurse to recommend an exercise activity.The nurse should recommend:

A)Softball.
B)Football.
C)Swimming.
D)Basketball.

Question 11

A nurse is administering an intramuscular vaccination to an infant who has Wiskott-Aldrich syndrome.Because of this syndrome,this infant is at higher risk for:

A)Pain at the injection site.
B)Bleeding at the injection site.
C)Redness and swelling at the injection site.
D)Mild rash at the injection site.

Question 12

A problem the nurse anticipates for a family who has a child with acquired immunodeficiency syndrome (AIDS)is:

A)Anticipatory grieving.
B)Family coping,compromised.
C)Risk for impaired parenting.
D)Parental role conflict.

Question 13

A nurse technician is showing symptoms of latex sensitivity during the weekend shift.The nurse in charge should:

A)Send the nurse technician to a department that does not use latex products.
B)Contact the employee health department in the facility and obtain latex-free products for the nurse technician.
C)Wait until Monday to report the problem to the supervisor of the unit.
D)Assign the nurse technician non-patient care duties.

Question 14

A child with the human immunodeficiency virus is started on sulfamethoxazole and trimethoprim (Bactrim)for Pneumocystis carinii pneumonia (PCP)prophylaxis.The recommended dose is based on the trimethoprim (TMP)component,and is 15-20 mg TMP/kg/day in divided doses every 6-8 hours.The child weighs 6.8 kg.What is the highest dose of TMP he can receive a day? ______

Question 15

A child with human immunodeficiency virus (HIV)also has oral candidiasis.Mouth care for this child should be with:

A)Normal saline.
B)Listerine.
C)Scope.
D)Viscous lidocaine.