The school nurse is informed that a child with human immunodeficiency virus (HIV) will be attending school soon. Which is an important nursing intervention?

a. Carefully follow universal precautions.
b. Determine how the child became infected.
c. Inform the parents of the other children.
d. Reassure other children that they will not become infected.


ANS: A
Universal precautions are necessary to prevent further transmission of the disease. It is not the role of the nurse to determine how the child became infected. Informing the parents of other children and reassuring children that they will not become infected is a violation of the child's right to privacy.

Nursing

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Managed health care has led to significant changes in the health care delivery system. What effect has managed health care had on the hospital's patient population?

A) Patients are in the hospital for a longer period of time. B) Pre-negotiated payment rates have remained unchanged. C) Patients with high home care needs are being discharged into the community. D) Use of ambulatory care has decreased.

Nursing

The nurse assesses the patient with Parkinson's disease who has been taking levodopa and carbidopa (Sinemet) for 7 years for which of the following common side effects of the drug?

A) Pruritus B) Dyskinesia C) Lactose intolerance D) Diarrhea

Nursing

Which maternal reaction is cause for concern and should prompt a consultation with the RN?

A) Hesitation to take newborn when offered and expresses disappointment with the way the baby looks B) Neglects to engage with or provide care for the baby and shows little interest in it C) Tearful for several days and has difficulty eating and sleeping D) Expresses doubt about her ability to care for the baby as well as the nurse can

Nursing

During your first visit to the home, you should check for

A) the client's valuables. B) safety factors. C) pets. D) bills that are due.

Nursing