WorksheetsAIDS and Meds administrationPed_ND26 Worksheet
Total questions: 10
Worksheet time: 5mins
A nurse is planning immunization teaching for the parent of a child diagnosed with HIV. Which immunization recommendation should the nurse prioritize to reduce the risk of opportunistic infections in this child?
Administer yearly influenza vaccination to the child.
Delay all vaccinations until CD4 counts return to normal levels.
Avoid pneumococcal vaccines to prevent adverse reactions in immunocompromised children.
Administer live attenuated vaccines routinely without special precautions.
A nurse is developing a care plan for a newly diagnosed HIV-infected child. Which goal should the nurse prioritize to optimize the child's long-term health outcomes?
Achieve and maintain viral suppression through strict adherence to antiretroviral therapy (ART).
Provide aspirin regularly to manage potential pain and discomfort associated with HIV.
Delay initiation of ART until symptoms of opportunistic infections appear to avoid medication side effects.
Focus solely on psychosocial support and HIV disclosure to improve the child's quality of life.
A 12-month-old child born to an HIV-positive mother is admitted to the pediatric unit. The nurse notes the physician has ordered a series of diagnostic tests to monitor the child's HIV status and potential complications. Which combination of tests should the nurse anticipate to most effectively assess disease progression and identify opportunistic infections in this pediatric patient?
Western blot, hepatitis B surface antibody, and urinalysis
CD4+ T-cell count, viral load, and purified protein derivative (PPD) test
Enzyme-linked immunosorbent assay (ELISA), salivary antibody test, and chest X-ray
Nucleic acid test (PCR), pap test, and genetic resistance testing (GART)
During the comprehensive assessment of a 7-year-old child with HIV, the nurse notes the child has a persistent cough, weight loss, and lethargy, with laboratory results showing a declining CD4+ count and rising viral load. Which nursing intervention should the nurse prioritize to address the child's current condition and prevent complications?
Collaborate with the healthcare team to initiate screening and treatment for possible opportunistic infections immediately.
Focus on nutritional support by providing high-calorie meals and vitamin supplements to promote weight gain.
Educate the child and family about adherence to antiretroviral therapy (ART) to improve viral suppression.
Arrange for psychological counseling to help the child cope with chronic illness and emotional distress.
A nurse is preparing to counsel the caregiver of a child suspected of having HIV before diagnostic testing. Which approach best integrates assessment, education, and psychosocial support to optimize both the testing process and subsequent care?
Assess the caregiver's understanding of HIV, address fears about stigma, explain the testing process and implications, and provide resources for ongoing emotional and medical support regardless of test outcome.
Provide a brief explanation of the testing procedure and assure confidentiality, postponing discussions about treatment and psychosocial issues until after test results are available.
Focus primarily on obtaining signed informed consent quickly to expedite testing, with counseling reserved for after diagnosis confirmation to avoid overwhelming the caregiver.
Encourage the caregiver to immediately disclose the child's suspected HIV status to family and community to build a support network before confirming diagnosis.
A pediatric nurse is preparing to administer an oral medication to a 9-month-old infant. Which of the following considerations is most important to ensure safe and effective medication administration?
Administer the medication based on the infant's weight in kilograms, considering their immature renal function when calculating the dose.
Give the full adult dose prescribed to the infant because they metabolize medications faster than adults.
Mix the oral medication with a large amount of formula or juice to mask the taste and ensure the infant receives the entire dose.
Administer the medication only when the infant is asleep to reduce resistance to medication administration.
A nurse is preparing to administer an intramuscular (IM) injection of a vaccine to a 6-month-old infant. Considering muscle development and safety, which site should the nurse select for the injection?
Deltoid muscle
Vastus lateralis muscle
Dorsogluteal muscle
Ventrogluteal muscle
A nurse is preparing to administer an IV push medication to a pediatric patient weighing 15 kg. The medication requires dilution and infusion over 10 minutes. Which action should the nurse prioritize to ensure safe administration and avoid complications?
Calculate the dose based on the child’s weight, dilute in an appropriate volume of fluid, and use a syringe pump to infuse over the prescribed time
Administer the medication as quickly as possible to maintain therapeutic blood levels and reduce distress
Use the smallest available IV catheter to minimize trauma, regardless of vein size or medication characteristics
Select an IV site in the small veins of the hand because they are easier to access and less painful
A nurse is preparing to administer amoxicillin to Sarah, a 6-year-old child who weighs 22 pounds. The provider orders amoxicillin at 50 mg/kg/day divided into two doses. The medication is available as 250 mg/5 mL suspension. How many milliliters should the nurse administer per dose?
2.5 mL per dose
5 mL per dose
10 mL per dose
1 mL per dose
A nurse is teaching the parent of a 4-year-old child about administering prescribed oral antibiotics. Which statement by the parent indicates a need for further teaching?
I will give the medication at the same time each day to maintain consistent blood levels
If my child refuses the medicine once, I will wait and try again in a few minutes rather than forcing it
I can mix the medication with a small amount of juice to help my child take it more easily, as long as they drink all of it
It’s okay to stop the medication early as soon as my child feels better to avoid unnecessary side effects
