chapter 14 EAQ

A patient sustains a deep laceration to an extremity due to a construction-site injury. The nurse questions which goal that is listed on the patient's plan of care?

The patient will take antibiotics until the pain level is "5" or less.

The nurse discusses emerging infections with a group of community leaders and includes which examples?

West Nile fever H1N1 (swine) flu Human immunodeficiency virus (HIV) infection

While staffing an ambulatory care unit for patients with human immunodeficiency virus (HIV), which question would the nurse ask to help patients to address end-of-life and death issues?

"Do you desire support from a spiritual counselor?"

Which response would the nurse use when a patient inquires as to how emtricitabine (Emtrival) helps with his or her human immunodeficiency virus (HIV) infection?

"Emtricitabine inserts DNA into the HIV DNA chain and blocks further development of the HIV DNA chain."

The nurse assesses a patient with recently diagnosed acquired immunodeficiency syndrome (AIDS). When obtaining a health history from the patient, what statement does the nurse determine most correlates with this diagnosis?

"I have had a steady weight loss over the past several months."

Which response would the nurse use when a patient asks about performing rapid testing for human immunodeficiency virus (HIV) infection at home?

"These tests are recommended for home use and performed on freshly voided urine."

When discussing human immunodeficiency virus (HIV) infection with a patient, which statements would the nurse use?

"Untreated HIV infection has a predictable pattern of progression." "Late chronic HIV infection is called acquired immunodeficiency syndrome (AIDS)." "Oropharyngeal candidiasis is a common infection associated with the symptomatic stage of HIV infection."

Which opportunistic infections would the nurse monitor for clinical manifestations in the patient with acquired immunodeficiency syndrome (AIDS)?

Candidiasis of bronchi Toxoplasmosis of the brain Mycobacterium avium (MAC) complex

A newly diagnosed patient with human immunodeficiency virus (HIV) inquires as to the requirements for development of acquired immunodeficiency syndrome (AIDS). Which diagnostic criterion for AIDS would the nurse share with the patient?

A CD4 T-cell count below 200/µL The presence of an opportunistic infection A white blood cell (WBC) count below 5000/µL Presence of an opportunistic cancer Loss of 10% or more of ideal body mass

When reviewing the home medications of a patient receiving antiretroviral therapy (ART), which medications and over-the-counter pills would the nurse assess their presence for potential interactions?

Antacids St. John's wort Proton-pump inhibitors

A patient, in the terminal phase of acquired immunodeficiency syndrome (AIDS), tells the home care nurse, "I brought the disease upon myself. I stopped going to church and speaking with those who previously provided spiritual support." Which spirituality goal would the nurse establish?

Assist the patient in reconciling with his or her God or higher being.

The nurse is reviewing the laboratory reports for a patient with pneumonia who is resistant to penicillin G. The nurse anticipates that which medication will be prescribed?

Ceftriaxone

A nurse educator is teaching a group of nurses how to prevent health care-associated infections (HAIs) in hospitals. Which bacteria are common culprits for the spread of health care-associated infections?

Escherichia coli Staphylococcus aureus Enterobacter aerogenes

Which assessment findings would the nurse recognize as diagnostic of acquired immunodeficiency syndrome (AIDS) in the patient diagnosed with human immunodeficiency virus (HIV) approximately 12 years ago?

Esophageal candidiasis CD4 count less than 200 cells/µL

The nurse provides education for other staff members related to caring for a patient who is coughing up blood. The nurse instructs the staff to don which personal protective equipment (PPE)?

Gown Gloves Face mask

The nurse determines appropriate transmission-based precautions for several patients who are hospitalized with infections. A patient with which diagnosis requires droplet precautions?

Influenza A Bacterial meningitis

Which side effects would the nurse teach the patient with human immunodeficiency virus (HIV) to monitor when receiving antiretroviral therapy (ART) for a long time?

Lipodystrophy

A patient with chronic acquired immunodeficiency syndrome (AIDS) is taking antiretroviral therapy (ART) as well as medication for tuberculosis. Which laboratory data changes would the nurse anticipate?

Neutropenia Abnormal liver function tests

The nurse recognizes that there is an increased number of patients that require inpatient care due to an antibiotic-resistant infection. Which actions by heath care providers may have contributed to this problem?

Prescribing antibiotics for viral infections Prescribing inadequate drug regimens to treat infections Prescribing broad-spectrum antibiotics when only first-line antibiotics are needed

Which interventions would the nurse include in the plan of care for the patient who participates in high-risk activities and has a positive result on the enzyme immunoassay (EIA) test?

Repeat the EIA test. Implement the antigen/antibody testing algorithm.

The nurse provides education for a group of nursing students about preventing transmission of contagious infection. Which infections that are airborne and require transmission-based precautions does the nurse include in the teaching?

Rubeola Tuberculosis (TB)

Which instructions would the nurse include when teaching preexposure prophylaxis (PrEP) to a group of adults at high risk of sexually acquired human immunodeficiency virus (HIV) infection?

Safe sex practices Regular HIV testing Risk reduction counseling

A patient reports a positive pregnancy test, despite use of a condom. Which information would the nurse share with the patient?

Tell her that failure of condoms does occur. Offer access to voluntary human immunodeficiency virus (HIV) antibody testing. Provide information related to options for an unwanted pregnancy.

When monitoring the CD4 results of a patient with human immunodeficiency virus (HIV) infection, which CD4 count would prompt the nurse to monitor for clinical manifestations associated with immunity problems?

The CD4 count falls to 500.

Which response would the nurse use when a patient who received a prescription for nevirapine (Viramune XR) asks about the benefit of the medication for human immunodeficiency virus (HIV) infection?

The medication combats HIV by inhibiting the action of reverse transcriptase.

Which diseases does the nursing instructor include when educating a group of nursing students about infections caused by Mycobacteria?

Tuberculosis Hansen's disease

The patient with human immunodeficiency virus (HIV) does not want to take more than one prescribed antiretroviral medication at a time. Which explanation would the nurse provide the patient regarding combination antiretroviral therapy?

Viral replication will be inhibited through use of the combinations.