A nurse is preparing to administer routine immunizations to an infant who is HIV positive. What is the American Academy of Pediatrics recommendation for immunizing infants who are HIV positive?
a. Follow the routine immunization schedule.
b. Routine immunizations are administered. Assess CD4+ counts before administering the MMR and varicella vaccinations.
c. Do not give immunizations because of the infant's altered immune status.
d. Eliminate the pertussis vaccination because of the risk of convulsions.
B
Routine immunizations are appropriate. CD4+ cells are monitored when deciding whether to provide live virus vaccines. If the child is severely immunocompromised, the MMR vaccine is not given. The varicella vaccine can be considered on the basis of the child's CD4+ counts. Only inactivated polio (IPV) should be used for HIV-infected children. Immunizations are given to infants who are HIV positive. The pertussis vaccination is not eliminated for an infant who is HIV positive.
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A) Acute care facility B) Rehabilitation care C) Intermediate care facility D) Ambulatory care
A struggling nursing student studies several hours daily while children watch television nearby. It is likely that this student needs to
a. schedule another hour of nightly study. b. correct eyestrain by having his or her eyes tested. c. study where there are fewer external distractions. d. listen actively in class to reduce study hours.
Which information should the nurse include in the education for a client with asthma?
A. Drink additional fluids. B. Eat small, frequent meals. C. Sleep in a warm room. D. Complete activity in the morning and rest in the afternoon. E. Avoid foods high in protein.
Y.W.'s medication list includes ranitidine (Zantac elixir) 150 mg per percutaneous
endoscopic gastrostomy (PEG) tube bid, phenytoin (Dilantin) 100 mg per PEG tube every 8 hours, propofol (Diprivan) 10 mcg/kg/min continuous intravenous (IV) infusion , and acetaminophen (Tylenol) 650 mg per PEG tube every 6 hours as needed for temperature greater than 101.0 ° F. Indicate the reason Y.W. received each medication.