Peds Wong Chapter 25 Questions and Approved
Answers Guaranteed 100% Pass
A 16-year-old patient has just been diagnosed with HIV. Which statement by the parent indicates
understanding of the diagnosis?
A)"It is important for our child to get started on drug therapy for a better chance of a cure of the
infection."
B)"I must be infected with HIV and passed it to our child while in the uterus for the infection to
have occurred."
C)"We don't want to face the fact that it is likely our child contracted HIV through sexual contact
or IV drug use."
D)"Infections as a result of being HIV positive are a low risk since the diagnosis came early." -
CORRECT ANSWER ✔✔ -C. "We don't want to face the fact that it is likely our child
contracted HIV through sexual contact or IV drug use."
In teenagers, HIV is primarily contracted through sexual intercourse with an infected person or
sharing of needles with an infected person during IV drug use. There is no cure for HIV, infants
primarily contract the virus from their mothers, and infections as a result of having HIV are not
dependent on when the diagnosis occurred.
A child is diagnosed with a food allergy to milk. When teaching the parents about this allergy,
what would the nurse suggest as possible substitutions for milk? Select all that apply.
,A)Fruit juice
B)Rice milk
C)Yogurt
D)Nondairy creamers
E)Soy milk - CORRECT ANSWER ✔✔ -A, B, E
Milk can be replaced with water, fruit juice, rice milk, or soy milk. Yogurt contains milk and
some nondairy products such as creamers may contain milk and should be avoided.
A child is diagnosed with juvenile idiopathic arthritis and is receiving several different
medications listed in the medication administration record. Which agent would the nurse identify
as being used to prevent disease progression?
A)Aspirin
B)Prednisone
C)Ibuprofen
D)Methotrexate - CORRECT ANSWER ✔✔ -D. methotrexate
, Disease-modifying antirheumatic drugs (DMARDs), such as methotrexate, are necessary to
prevent disease progression. Other agents, such as aspirin and ibuprofen, are helpful with pain
relief. Prednisone helps for relief of inflammation.
A child with hypogammaglobulinemia is to receive intravenous immunoglobulin (IVIG). What
action would not be correct to take?
A)Shake the vial after reconstituting it
B)Premedicate the child with acetaminophen
C)Obtain preinfusion vital signs
D)Check serum blood urea nitrogen and creatinine levels - CORRECT ANSWER ✔✔ -A. Shake
the vial after reconstituting it.
Many IVIG products are packed as two vials, one the IVIG powder and one the sterile diluents.
Once reconstituted, the IVIG should not be shaken because this leads to foaming and may cause
the immunoglobulin protein to degrade. The child can be premedicated with acetaminophen or
diphenhydramine. Baseline serum blood urea nitrogen and creatinine should be assessed because
acute renal insufficiency may occur as a serious adverse reaction.
A child with systemic lupus erythematosus is receiving high-dose corticosteroid therapy over the
long term. The nurse would instruct the parents and child to report:
Answers Guaranteed 100% Pass
A 16-year-old patient has just been diagnosed with HIV. Which statement by the parent indicates
understanding of the diagnosis?
A)"It is important for our child to get started on drug therapy for a better chance of a cure of the
infection."
B)"I must be infected with HIV and passed it to our child while in the uterus for the infection to
have occurred."
C)"We don't want to face the fact that it is likely our child contracted HIV through sexual contact
or IV drug use."
D)"Infections as a result of being HIV positive are a low risk since the diagnosis came early." -
CORRECT ANSWER ✔✔ -C. "We don't want to face the fact that it is likely our child
contracted HIV through sexual contact or IV drug use."
In teenagers, HIV is primarily contracted through sexual intercourse with an infected person or
sharing of needles with an infected person during IV drug use. There is no cure for HIV, infants
primarily contract the virus from their mothers, and infections as a result of having HIV are not
dependent on when the diagnosis occurred.
A child is diagnosed with a food allergy to milk. When teaching the parents about this allergy,
what would the nurse suggest as possible substitutions for milk? Select all that apply.
,A)Fruit juice
B)Rice milk
C)Yogurt
D)Nondairy creamers
E)Soy milk - CORRECT ANSWER ✔✔ -A, B, E
Milk can be replaced with water, fruit juice, rice milk, or soy milk. Yogurt contains milk and
some nondairy products such as creamers may contain milk and should be avoided.
A child is diagnosed with juvenile idiopathic arthritis and is receiving several different
medications listed in the medication administration record. Which agent would the nurse identify
as being used to prevent disease progression?
A)Aspirin
B)Prednisone
C)Ibuprofen
D)Methotrexate - CORRECT ANSWER ✔✔ -D. methotrexate
, Disease-modifying antirheumatic drugs (DMARDs), such as methotrexate, are necessary to
prevent disease progression. Other agents, such as aspirin and ibuprofen, are helpful with pain
relief. Prednisone helps for relief of inflammation.
A child with hypogammaglobulinemia is to receive intravenous immunoglobulin (IVIG). What
action would not be correct to take?
A)Shake the vial after reconstituting it
B)Premedicate the child with acetaminophen
C)Obtain preinfusion vital signs
D)Check serum blood urea nitrogen and creatinine levels - CORRECT ANSWER ✔✔ -A. Shake
the vial after reconstituting it.
Many IVIG products are packed as two vials, one the IVIG powder and one the sterile diluents.
Once reconstituted, the IVIG should not be shaken because this leads to foaming and may cause
the immunoglobulin protein to degrade. The child can be premedicated with acetaminophen or
diphenhydramine. Baseline serum blood urea nitrogen and creatinine should be assessed because
acute renal insufficiency may occur as a serious adverse reaction.
A child with systemic lupus erythematosus is receiving high-dose corticosteroid therapy over the
long term. The nurse would instruct the parents and child to report:
