A nurse is planning care for a child with human immunodeficiency virus (HIV). The highest-priority nursing problem for this child is
1. risk for infection.
2. risk for fluid-volume deficit.
3. ineffective thermoregulation.
4. ineffective tissue perfusion,peripheral.
Answer:1
Rationale: A child with HIV is at risk for a myriad of bacterial,viral,fungal,and opportunistic infections because of the effect of the virus on the immune system. Risk for fluid-volume deficit,ineffective thermoregulation,and ineffective tissue perfusion,peripheral would not be priority problems with this disease process.
You might also like to view...
An 85-year-old female patient arrives by ambulance to the emergency department accompanied by her husband
He reports that his wife had been ill with pneumonia and, 2 days ago, went to the family physician who prescribed azithromycin twice a day. The husband reports that he is making sure she gets the medicine. His wife has been staying in bed and resting. She awoke from sleep last night and was extremely agitated, left the house, and was walking outside. She did not recognize her husband and wanted to call the police. Which of the following is an appropriate question for the history? A. Does your wife have dementia or frequent episodes of confusion? B. Has your wife been running a fever? C. Is your wife allergic to any medication? D. Has your wife ever had a mental status exam?
Discuss the Patient Protection and Affordable Care Act (PPACA), also known as the healthcare reform, which was passed in 2010
a. What advantages are it intended to give those people who previously did not have affordable healthcare access? b. How does it affect those with healthcare coverage already? Or does it affect them at all? Who does it affect, if anyone? c. What are the advantages and disadvantages of this act or program?
A 12-year-old girl has been admitted to the pediatric unit with bilateral lower lobe pneumonia. When writing a plan of care for this child, what would be the most appropriate intervention?
A) Provide information for age-appropriate community activities B) Identify normal findings in the child C) Assess parenting D) Provide information that contributes to an improved state of health
A patient who has a right-sided chest tube following a thoracotomy has continuous bubbling in the suction-control chamber of the collection device. Which action by the nurse is most appropriate?
a. Document the presence of a large air leak. b. Notify the surgeon of a possible pneumothorax. c. Take no further action with the collection device. d. Adjust the dial on the wall regulator to decrease suction.