Author Question: A nurse is performing an admission assessment on a client with symptoms that indicate the client may ... (Read 109 times)

Hungry! · **on:** Jun 25, 2018

A nurse is performing an admission assessment on a client with symptoms that indicate the client may have human immunodeficiency virus (HIV). Which question from the nurse addresses a major risk factor for contracting HIV?

A) Has your partner been experiencing these symptoms?
B) When was your first sexual experience?
C) Have you had any fever, diarrhea, or chills over the last 48 hours?
D) Have you ever experimented with intravenous drugs?

Question 2

The nurse is discharging a pediatric who recently developed acquired immunodeficiency syndrome (AIDS).

When discussing appropriate health promotion activities for this child, which immunization is not appropriate for this client to receive due to AIDS diagnosis?
A) Varicella vaccine
B) Haemophilus influenzae type B (HIB conjugate vaccine)
C) Hepatitis B vaccine (hep B)
D) Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP)

ttt030911 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

One risk factor for contracting HIV is the use of intravenous recreational drugs. This question is appropriate to determine the client's risk for HIV. The client's first sexual experience is not applicable to the client's current risk for HIV. Assessing recent symptoms, and asking if the client's partner is experiencing the same symptoms, does not assess the client's risk factors for HIV transmission.

Answer to Question 2

Answer: A

A child with an immune disorder such as HIV/AIDS should not be immunized with a live varicella vaccine, because of the risk of contracting the disease. DTaP, HIB, and hepatitis B vaccinations are not live vaccines, and should be given on schedule.