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    Hesi rn n404 maternity and pediatrics proctored exam

    The nurse is developing a teaching plan for a school-aged child with AIDS. Which instruction should the nurse include in the teaching plan for the family of a school-aged child with AIDS?

    Explanation & Rationale

    Rationale: A. Obtain a booster for all immunizations as soon as possible: While immunizations are important, live vaccines may be contraindicated in children with AIDS depending on their immune status. Boosters should be given only under the guidance of a healthcare provider. B. Obtain an injection of penicillin G 1000 units weekly: Routine prophylactic penicillin is not indicated for children with AIDS unless there is a specific underlying condition such as sickle cell disease. C. Keep the child away from other children and begin a home school program: Isolation from peers is unnecessary and can negatively impact social and emotional development. Standard precautions and avoiding exposure to infectious illnesses are more appropriate. D. Avoid exposure to chickenpox: Children with AIDS are immunocompromised and at high risk for severe complications from varicella infection. Teaching the family to avoid exposure to chickenpox and other infectious diseases is essential to protect the child’s health.

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