An HIV-positive woman delivers an infant. The pediatrician prescribes testing for the newborn, and the nurse prepares for which action? Answer✔✔ - Ask
... [Show More] the laboratory to perform virologic testing
Rationale: Traditional HIV antibody measurement by ELISA or Western-blot assay is not accurate in infants younger than 18 months because of the persistence of maternal antibodies. Because of the potential for maternal contamination during delivery, umbilical cord blood should not be used for testing. HIV-exposed infants should undergo virologic testing within 48 hours of birth and follow-up testing, depending on the initial results.
A nurse providing home care instructions to a mother of a HIV-positive child discusses measures to prevent transmission of the virus. Which statement by the mother indicates a need for further instruction? Answer✔✔ - "I'll wash up blood spills with soap and hot water and allow them to air dry."
Rationale: The correct method of cleaning up blood spills is to wash the area with soap and water, rinse with bleach, and let the area air dry. The remaining statements by the mother reflect correct measures to prevent transmission of the virus.
A child has been in the hospital for several days for treatment of severe vomiting related his HIV-positive status. Which assessment finding is the best indication that the child's condition is improving? Answer✔✔ - Weight increase of 1 lb (0.45 kg) over 3 days
Rationale: Vomiting results in fluid volume deficit. The most accurate method of evaluating fluid volume increase (the desired outcome) is weight. A temperature decrease is not reflective of fluid volume increase. Increasing capillary refill time is indicative of a fluid volume decrease, not an increase. The absence of mouth ulcers would allow the child to drink without pain but does not reflect a fluid volume increase.
A girl with systemic lupus erythematosus (SLE) wants to go to the beach with her friends on the day after their junior pr [Show Less]