Author Question: A nurse is caring for an HIV-positive child diagnosed with Pneumocystis jiroveci pneumonia who is ... (Read 102 times)

casperchen82 · **on:** Jun 28, 2018

A nurse is caring for an HIV-positive child diagnosed with Pneumocystis jiroveci pneumonia who is receiving trimethoprim-sulfamethoxazole. Which finding indicates a possible complication of using this drug?

A.
Hemorrhagic blisters
B.
Polyuria
C.
Severe headache
D.
Seizures

Question 2

A nurse volunteers for a disaster relief program and has traveled to an area devastated by a natural disaster. All basic services have been disrupted. When counseling an HIV-positive mother, what is the priority for her 8-month-old infant?

A.
Availability of family members to help
B.
Local supplies of immunizations
C.
Safety of the drinking water supply
D.
Types of shelter space available

akudia · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
P. jiroveci is usually treated with trimethoprim-sulfamethoxazole (TMP-SMZ), a sulfa drug. A potential complication of this drug is Stevens-Johnson syndrome, characterized by a rash that turns into hemorrhagic blistering, fever, cough, sore throat, nausea, and vomiting. Polyuria, headache, and seizures are not typical findings in this condition.

Answer to Question 2

ANS: C
If the mother must mix dry powered formula to feed her baby, it is imperative that the water used be sanitary to avoid further compromising the infant and causing infection. The other information is important, but feeding is an immediate need.