Ch 11 HIV quiz

The hospitialized patient with an HIV infection who is being teated for Mycobacterium tuberuclosis (MTb) demonstrates understanding of care when stating

It is important for me to take my rifampin medication for the next year.

The nurse includes in the discharge instructions to a patient with HIV the need to make fresh disinfectant solution daily using 1 cup of household bleach mixed with ____ cups of water.

10

The nurse is aware that Penumocystis jiroveci (P. carinii, or PCP) becomes a real threat when the immunosuppressed patient's CD4 count drops to ____ cells/mm3.

200

The patient with AIDS voices concerns over the amount of money it will cost to manage his disease. The nurse is aware that it is estimated that medications and lab testing cost an average _______ per year for the patient with AIDs

25,000

In the event of an accidental exposure to HIV through a needle stick, the nurse should be given a protocol of 1 to 3 drugs for a period of _____ weeks.

4

The nurse speaking with a student about immunoceompetence correctly defines it as occuring when

A physiological responses protect the body against invasion for microorganisms or toxins

When oral thrush, recurrent vaginal yeast infections, or skin disorders appear in the HIV-positive patient, the nurses assesses this as:

A sign of failing immune system

The nurse caring for a patient with advanced AIDS notes that the patient has lost several pounds as the result of having no appetite and poor food consumption. Based on these findings, what should the nurse be alert to?

Anasarca

The nurse clarifies that the HIV virus enters and alters the DNA of the _____ cell lymphocyte.

CD4

An HIV positive patient is diagnosis with Kaposi sarcoma (KS). The patient asks why highly active antiretroviral therapy (HAART) is being prescribed for him. Which response by the nurse is the most acurate?

HAART will help stop the progression of your skin lesions

The nurse describes the initial diagnostic test for HIV as the enzyme-linked immunosorbent assay (ELISA), which is performed to detect:

HIV antibodies

A patient states that she has heard of two types of HIV and asks the nurse what the difference is between HIV type 1 and HIV type 2. Which response by the nurse is correct?

HIV type 1 is the most common type seen in the United States

The nurse caring for a patient with AIDS who is taking cidofovir (Vistide) for cytomegalovirus retinits will modify the care plan to include:

Increasing fluid intake to reduce possible nephrotoxicity

The nurse recognizes a need for further instruction when the HIV positive patient says:

My life is over, HIV and AIDS are the same thing.

The nurse is aware that more instruction is needed for the HIV positive patient when she says:

Oral sex is safer and doesn't require a barrier

The nurse will add a special caution to patient teaching for a patient with HIV infection who has a ____ for a house pet.

cat

The nurse caring for an AIDs patient who has been experiencing fatigue, anorexia, weight loss, and occasional nausea/vomiting. Which nursing diagnosis is the priority for this patient?

imbalanced nutrition.

The physician explains to a patient that the frequent infections he has been experiencing are caused by insufficient production of antibodies and immune cells. The nurse is aware that the physician is describing what type of disorder?

immune dficiency

The nurse uses a visual aid to demonstrate how nonnucleoside reverse transcriptase inhibitors (NNRTIs) and protease inhbitors (PIs) work to combat HIV by:

interfering with replication of the virus.

The nurse stresses that the primary emphasis on controlling HIV is

prevention

The nurse is caring for an immune compromised patient who complains of itching and tingling from below the shoulder on the back around to the chest area, as well as burning and shooting pain, headache, and low-grade fever. the nurse is aware that this patient is most likely experiencing:

shingles

In caring for the patient who is HIV positive, the nurse would:

use standard precautions

An HIV patient has lost more than 10% of her weight along with having diarrhea for the last 30 days. The nurse knows that these are indication of:

wasting syndrome