The nurse is reviewing the immunization schedule for a child with ...

[theo]

The nurse is reviewing the immunization schedule for a child with human immunodeficiency virus (HIV) infection with the mother. Which of the following will be a component of the in-structions that the nurse provides to the mother?
 
  1. Immunizations will not be given to the child with HIV infection.
  2. The child and the siblings will need to receive inactivated polio vaccine.
  3. The immunization schedule needs to be altered because of the HIV infection.
  4. Immunizations will be given to the child with HIV infection but will not be initi-ated until the child is 3 years old.

Question 2

The nurse is caring for a client on the oncology unit who has developed stomatitis during chemotherapy. The nurse would plan which of the following measures to treat this complication?
 
  1. Rinse the mouth with diluted baking soda or saline.
  2. Use lemon and glycerin swabs liberally on painful oral lesions.
  3. Place the client on NPO status for 12 hours, then resume liquids.
  4. Brush the teeth and use nonwaxed dental floss at least twice a day.

[Galvarado142]

Answer to Question 1

2

Rationale: The mother should be instructed that the child with HIV infection should keep im-munizations up to date. The child with HIV infection and the siblings will receive an inactivated polio vaccine because the child with HIV infection is immunocompromised. All household members will receive the influenza vaccine. The immunization schedule would not be altered in any other way, and it is important for the mother to understand clearly the immunization sched-ule.

Answer to Question 2

1

Rationale: Stomatitis, or mouth ulcerations, occurs with the administration of many antineoplastic medications. The client's mouth should be examined daily for signs of ulceration. If stomatitis occurs, the client should be instructed to rinse the mouth with baking soda or saline. Food and fluids are important and should not be restricted. If chewing and swallowing are painful, the client may switch to a liquid diet. Instruct the client to avoid spicy foods and foods with hard crusts or edges. The client should avoid tooth brushing and flossing when stomatitis is severe. Lemon and glycerin swabs may cause pain and further irritation.