CH 36 AH1

A client with acquired immune deficiency syndrome (AIDS) is brought to the clinic by a family member. The family member tells the nurse the client has become forgetful, with a limited attention span, decreased ability to concentrate, and delusional thinking. What condition is represented by these symptoms?

HIV encephalopathy

A client seen in the outpatient clinic has common variable immunodeficiency. It is important for the nurse to teach the client about the need for more frequent screening for which complication?

Malignancy

A client with common variable immunodeficiency (CVID) comes to the ED reporting tingling and numbness in the hands and feet, muscle weakness, fatigue, and chronic diarrhea. An assessment reveals abdominal tenderness, weight loss, and loss of reflexes. A gastric biopsy shows lymphoid hyperplasia of the small intestine and spleen as well as gastric atrophy. Based on these findings, what common secondary problem has this client developed?

Pernicious anemia

Kaposi sarcoma (KS) is diagnosed through

biopsy

A nurse educator is preparing to discuss immunodeficiency disorders with a group of fellow nurses. What would the nurse identify as the most common secondary immunodeficiency disorder?

AIDS

A woman infected with HIV comes into the clinic. What symptoms may be the focus of a medical complaint in women infected with HIV?

Gynecologic problems

A client taking fosamprenavir reports "getting fat." What is the nurse's best action?

Teach the client about side effects

A nurse is reviewing treatment options with parents of an infant born with severe combined immunodeficiency disease (SCID). The nurse recognizes that the parents understand the teaching based on which statement?

"We could have our 10-year-old daughter tested, as the ideal stem cell donor is a human leukocyte antigen-identical sibling."

The nurse is preparing to infuse gamma-globulin intravenously (IV). When administering this drug, the nurse knows the speed of the infusion should not exceed what rate?

3.0mL/min

When do most perinatal HIV infections occur?

After exposure during delivery

Which is usually the most important consideration in the decision to initiate antiretroviral therapy?

CD4+ counts

A client is prescribed antihistamines, and asks the nurse about administration and adverse effects. The nurse should advise the client to avoid:

EtOH

When learning about HIV/AIDS, the student should be able to differentiate the two subtypes of virus by which characteristic?

HIV 1 is more common than HIV 2 subtypes

Which term means a lack of one or more of the five immunoglobulins?

Hypogammaglobulinemia

A nurse is providing discharge teaching to a client who is immunosuppressed. Which statement by the client indicates the need for additional teaching?

I can eat whatever I want as long as it is low in fat

The nurse is aware that the most prevalent cause of immunodeficiency worldwide is

Malnutrition

A majority of clients with CVID develop which type of anemia?

Pernicious

A nurse knows that more than 50% of clients with CVID develop the following disorder.

Pernicious anemia

When administering intravenous immunoglobulin (IVIG), what is the most important action for the nurse to take?

Premedicate the client with acetaminophen and diphenhydramine 30 minutes before starting.

The nurse is gathering data from laboratory studies for a client who has HIV. The clients T4-cell count is 200/mm3, and the client has been diagnosed with Pneumocystis pneumonia. What does this indicate to the nurse?

The client has converted from HIV infection to AIDS

A client is scheduled to receive an intravenous immunoglobulin (IVIG) infusion. The client asks the nurse about the infusion's administration and its adverse effects. Which condition should the nurse instruct this client to report immediately?

Tickle in the throat

Which assessment finding would the nurse expect to document for a client with ataxia-telangiectasis?

Vascular lesions

Phagocytic dysfunction is characterized by the following. Choose all that apply.

Increased incidence of bacterial infections Chronic eczematoid dermatitis