Page 1175 - Saunders Comprehensive Review For NCLEX-RN

4. p24 antigen assay
407. The mother with human immunodeficiency virus (HIV) infection brings her
10-month-old infant to the clinic for a routine checkup. The pediatrician has
documented that the infant is asymptomatic for HIV infection. After the
checkup, the mother tells the nurse that she is so pleased that the infant will
not get HIV infection. The nurse should make which most appropriate
response to the mother?
1. “I am so pleased also that everything has turned out fine.”
2. “Because symptoms have not developed, it is unlikely that your
infant will develop HIV infection.”
3. “Everything looks great, but be sure to return with your infant
next month for the scheduled visit.”
4. “Most children infected with HIV develop symptoms within the
first 9 months of life, and some become symptomatic sometime
before they are 3 years old.”
408. A 6-year-old child with human immunodeficiency virus (HIV) infection has
been admitted to the hospital for pain management. The child asks the nurse
if the pain will ever go away. The nurse should make which best response to
the child?
1. “The pain will go away if you lie still and let the medicine work.”
2. “Try not to think about it. The more you think it hurts, the more it
will hurt.”
3. “I know it must hurt, but if you tell me when it does, I will try to
make it hurt a little less.”
4. “Every time it hurts, press on the call button and I will give you
something to make the pain go all away.”
409. The home care nurse provides instructions regarding basic infection control
to the parent of an infant with human immunodeficiency virus (HIV)
infection. Which statement, if made by the parent, indicates the need for
further instruction?
1. “I will clean up any spills from the diaper with diluted alcohol.”
2. “I will wash baby bottles, nipples, and pacifiers in the
dishwasher.”
3. “I will be sure to prepare foods that are high in calories and high
in protein.”
4. “I will be sure to wash my hands carefully before and after caring
for my infant.”
410. Which home care instructions should the nurse provide to the parent of a
child with acquired immunodeficiency syndrome (AIDS)? Select all that
apply.
1. Monitor the child’s weight.

2. Frequent hand washing is important.

3. The child should avoid exposure to other illnesses.
4. The child’s immunization schedule will need revision.

5. Clean up body fluid spills with bleach solution (10:1 ratio of

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