The nurse is providing instructions to the mother of a child who has been exposed to human immunodeficiency virus (HIV) infection. The nurse instructs the mother to notify the physician if which of the following symptoms occurs in the child?
1. Hyperactivity
2. Lethargy or fatigue
3. Irritability and fussiness
4. Coughing or chest congestion
4
Rationale: The mother should be instructed to call the physician if the child develops a fever higher than 101° F; has vomiting and diarrhea, a decreased appetite, difficulty in swallowing, or drooling; develops rashes or sores on the skin; or has coughing or chest congestion. The mother should also notify the physician if ear pain, ear pulling, or drainage from the ears occurs; wounds appear that do not heal; or the child is exposed to chickenpox. "Hyperactivity," "lethargy or fa-tigue," and "irritability and fussiness" identify vague symptoms, which are nonspecific to the subject of the question.
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