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.
1
Rationale:
1. 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.
2. 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 would not be a priority problem with this disease process.
3. 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 ineffective thermoregulation would not be a priority problem with this disease process.
4. 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 ineffective tissue perfusion, peripheral, would not be a priority problem with this disease process.
You might also like to view...
Mature red blood cells contain a large nucleus
A) True B) False
A client, a CEO of a major corporation, tells the nurse that he is not used to sitting around and waiting for things to get done. The nurse realizes this client is having difficulty with:
a. role overload c. the sick role b. person-role conflict d. interpersonal role conflict
Which assessment data best indicates to the nurse that an older client is experiencing undernutrition?
1. Body mass index (BMI) of 21 2. Unintentional 3% weight loss over a month 3. Client takes no supplements or vitamins 4. Serum albumin is slightly below normal
During a routine well-child visit, the mother of a preadolescent patient asks the nurse to explain signs of sexual abuse
The mother is concerned because an older male neighbor has been making comments and overtly admiring the child when playing outdoors. What information should the nurse provide to the mother? (Select all that apply.) A) Child reports abdominal pain. B) Child has a change in school performance. C) Child demonstrates anxiety or trouble sleeping. D) Child does not want to be left alone with a certain adult. E) Child spends a great deal of time with peer-group friends.