A toddler is diagnosed with chronic benign neutropenia. The ...

[mrsjacobs44]

A toddler is diagnosed with chronic benign neutropenia. The parents are being taught about caring for their child. What information is important to include?
 
  a. Avoid large indoor crowds and people who are ill.
  b. Parenteral antibiotics are necessary to control disease.
  c. Frequent rest periods are needed during the daytime.
  d. List the side effects of corticosteroids used to decrease inflammation.

Question 2

The majority of children in the United States with human immunodeficiency virus (HIV) infection acquired the disease by which means?
 
  a. Through sexual contact
  b. From a blood transfusion
  c. By using intravenous (IV) drugs
  d. Perinatally from their mothers

[leeeep]

Answer to Question 1

ANS: A
The parents are taught to minimize risk of infection by avoiding crowded areas and individuals who are ill. Parents are also cautioned about when to notify their practitioner and administration of granulocyte colony-stimulating factor, if indicated. Antibiotics are not needed unless the child has an infection. The toddler does not need any additional rest as a result of the neutropenia. Corticosteroids are not indicated.

Answer to Question 2

ANS: D
More than 90 of the children with HIV under 13 years who were reported to the Centers for Disease Control and Prevention acquired the infection during the perinatal period. With intervention, the number of children infected can be decreased. Sexual contact and IV drug use are the leading causes of infection in the 14- to 19-year age group. This number is less than the number of cases in the under 13-year age group. Transfusion has accounted for 3 to 6 of all pediatric acquired immunodeficiency syndrome cases to date. Before 1985 and routine screening of donated blood products, children with hemophilia were at great risk from pooled plasma products.