Page 1174 - Saunders Comprehensive Review For NCLEX-RN

▪ Applying insect repellents containing diethyltoluamide (DEET) and permethrin
before possible exposure to areas where ticks are found (use with caution in
infants and small children)
▪ Keeping yards at home trimmed and free of accumulating leaves and other
brush
▪ Applying tick repellent to dogs
▪ Saving the tick for later identification if it is removed from the child’s body
▪ To remove the tick, grasp the tick at the point of closest contact to the skin with
tweezers and pull straight up with steady, even pressure; remove any
remaining parts with a sterile needle; if using bare hands, use a tissue during
removal; wash hands with soap and water.

Practice Questions

403. An infant of a mother infected with human immunodeficiency virus (HIV) is
seen in the clinic each month and is being monitored for symptoms
indicative of HIV infection. With knowledge of the most common
opportunistic infection of children infected with HIV, the nurse assesses the
infant for which sign?
1. Cough
2. Liver failure
3. Watery stool
4. Nuchal rigidity
404. The nurse provides home care instructions to the parent of a child with
acquired immunodeficiency syndrome (AIDS). Which statement by the
parent indicates the need for further teaching?
1. “I will wash my hands frequently.”
2. “I will keep my child’s immunizations up to date.”
3. “I will avoid direct unprotected contact with my child’s body
fluids.”
4. “I can send my child to day care if he has a fever, as long as it is a
low-grade fever.”
405. The clinic nurse is instructing the parent of a child with human
immunodeficiency virus (HIV) infection regarding immunizations. The
nurse should provide which instruction to the parent?
1. The hepatitis B vaccine will not be given to the child.
2. The inactivated influenza vaccine will be given yearly.
3. The varicella vaccine will be given before 6 months of age.
4. A Western blot test needs to be performed and the results
evaluated before immunizations.
406. A pediatrician prescribes laboratory studies for an infant of a woman
positive for human immunodeficiency virus (HIV). The nurse anticipates
that which laboratory study will be prescribed for the infant?
1. Chest x-ray
2. Western blot
+
3. CD4 cell count

1174