Nursing strategies to improve the growth and development of the ...

[fbq8i]

Nursing strategies to improve the growth and development of the child with human immunodeficiency virus (HIV) infection should include what?
 
  a. Provide only those foods that the child feels like eating.
  b. Fortify foods with nutritional supplements to maximize quality of intake.
  c. Weigh the child and measure height and muscle mass on a daily basis.
  d. Provide high-fat and high-calorie meals and snacks to meet body requirements for growth.

Question 2

A child with hemophilia A is scheduled for surgery. What precautions should the nurse institute with this child?
 
  a. Handle the child gently when transferring to a cart.
  b. Caution the child not to brush his teeth before surgery.
  c. Use tape sparingly on postoperative dressings.
  d. Do not administer analgesics before surgery.

[Jossy]

Answer to Question 1

ANS: B
HIV infection often leads to marked failure to thrive and multiple nutritional deficiencies. Nutritional management may be difficult because of recurrent illness, diarrhea, and other physical problems. The nurse should implement intensive nutritional interventions if the child's growth begins to slow or weight begins to decrease. Fortifying foods with nutritional supplements will maximize quality of intake. The child does not need to be weighed daily, and high-fat meals and snacks should not be encouraged.

Answer to Question 2

ANS: A
The goal of prevention of bleeding episodes is directed toward decreasing the risk of injury. The child should be handled carefully when transferring to a cart. Brushing teeth, use of tape, and giving analgesics will not risk a bleeding episode.