Author Question: The student nurse is presenting a clinical conference, and the topic of discussion is human ... (Read 128 times)

chads108 · **on:** Jul 22, 2018

The student nurse is presenting a clinical conference, and the topic of discussion is human immunodeficiency virus (HIV) in children. The student is focusing the discussion on the methods of transmission of the virus.

Which of the following would be included in the discussion? 1. HIV cannot be spread by hugging, holding, or touching other people.
2. HIV can be transmitted from open wounds but only if there is skin-to-skin con-tact.
3. HIV is only able to be transmitted from an infected mother to her baby through breast milk.
4. HIV infection cannot be transmitted by unprotected sexual intercourse if the fe-male uses an intrauterine device as birth control.

Question 2

The client with cancer has received a course of chemotherapy and received fluorouracil (Adrucil). The nurse should plan to tell the client to report which of the following immediately?

1. Alopecia
2. Headache
3. Stomatitis and diarrhea
4. Changes in color vision

zacnyjessica · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1

Rationale: HIV cannot be spread by using the same toilet seat, bathtub, or shower; coughing or sneezing; or hugging, holding, or touching people. HIV can be spread from unprotected sexual intercourse regardless of birth control, from sharing of needles, from an infected mother to her baby through breast milk and vaginal secretions during the birth process, or from open wounds if there is blood-to-blood contact.

Answer to Question 2

3

Rationale: Fluorouracil (Adrucil) should be discontinued as soon as reactions (stomatitis, diarrhea) occur. Dosage can also be limited by palmar-plantar erythrodysesthesia syndrome (also called hand-foot syndrome), characterized by tingling, burning, redness, flaking, swelling, and blistering of the palms and soles. Alopecia is common and would not require immediate reporting. Headache and vision changes are not associated with fluorouracil.