The parent of a 2-year-old HIV-positive child questions whether the child can attend day care. Which is the best response?

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Question 1 of 5

The parent of a 2-year-old HIV-positive child questions whether the child can attend day care. Which is the best response?

Correct Answer: D

Rationale: An HIV-positive child may attend day care with no specific restrictions except that the child should not be in a group setting when febrile to prevent spread of other infections.

Question 2 of 5

Which analgesic is most effective for a child with sickle cell pain crisis?

Correct Answer: C

Rationale: Morphine is the drug of choice for managing severe pain during sickle cell crises.

Question 3 of 5

Which factors should be included in a teaching plan for a child with sickle cell anemia? (Select one that does not apply..)

Correct Answer: B

Rationale: Prompt medical attention when sick, stress avoidance, proper hydration, and good nutrition are all crucial in managing sickle cell anemia. (Overcooling by an air-conditioned room is not specifically indicated.)

Question 4 of 5

Which laboratory test is ordered to determine the presence of the HIV antigen in an infant whose parent is HIV+?

Correct Answer: D

Rationale: A p24 antigen assay (or PCR/viral culture) is used to confirm HIV infection in infants.

Question 5 of 5

Which would you expect to administer to a child with ITP and a platelet count of 5000/mm³?

Correct Answer: B

Rationale: IVIG is given in ITP to help reduce the autoimmune destruction of platelets. (Platelet transfusions are reserved for life-threatening bleeding.)

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