CLO Review (HIV /AIDS/ Immune System)

Which tests tell the physician what the viral load is in a client with HIV/AIDS? Select all that apply.

- p24 antigen test - polymerase chain reaction

An experienced medical nurse has provided care for patients who have immunodeficiencies that are primary, as well as for patients who have secondary immunodeficiencies. Which of the following individuals is most clearly exhibiting secondary immunodeficiency?

A woman whose diagnosis of sepsis is attributable to her recent chemotherapy

A teenaged client with a diagnosis of HIV presents at the public health clinic complaining of pharyngitis, rash on the palms and soles oPhis feet, and diarrhea. What would the nurse suspect the client is suffering from?

Acute retroviral syndrophe (ARS)

A teenaged client with a diagnosis of HIV presents at the public health clinic complaining of pharyngitis, rash on the palms and soles on his feet, and diarrhea. What would the nurse suspect the client is suffering from?

Acute retroviral syndrophe (ARS)

A client is suspected to have Lyme disease and has a red macule at the site of the tick bite with a bull s-eye rash with round rings surrounding the center. laddition, the client has a severe headache with neck stiffness. What stage of Lyme disease is the client experiencing

Early stage 1

The nurse is caring for a client with chronic fatigue syndrome. What is a realistic nursing intervention when taking care of a client with this diagnosis?

Educate the client about the disease process.

What type of cytokine will attract neytrophils and monocytes to remove debris?

Lymphokines

The nurse is caring for a client with an autoimmune disease. What is a characteristic of autoimmune disorders?

Progressive tissue damage without any verifiable etiology

The nurse is caring for a client with a suspected immune system disorder. What test would be ordered if a deficiency or excess of immunoglobulins was suspected?

Protein electrophoresis

A client comes to the clinic and informs the nurse that he feels as though he has allergies. What laboratory test results will be a positive indicator for an allergic disorder?

Radioallergosorbent blood test (RAST) of 3

A client is diagnosed with systemic lupus erythematosus (SLE). Which of the following would be most appropriate for the nurse to use to evaluate the client's stage of disease?

Review the client's medical record.

A client is receiving treatment for rheumatoid arthritis but states that he is allergic to eggs. What medication would the client not be able to receive?

Synvisc

An older adult client, who leads a sedentary lifestyle, and a younger client, who has a very stressful and active lifestyle, require a vaccine against a particular viral disorder. The nurse knows that in one of these clients, the vaccine wit be less effective. In which client is the vaccine more likely to be less effective and why.

The older client because of age

A client is cutting vegetable for dinner and accidently cuts his finger. What response is desirable to destroy foreign agents such as microorganisms to prevent infection from developing in the finger?

The release of antibodies

A client comes to the clinic and informs the nurse that he had a mild case of the flu a couple of months ago and "hasn't felt well since." The client tells the nurse that he is fatigued and it gets worse after any physical activity and a recurrent sore throat and joint pain. What does the nurse recognize these symptoms may indicate?

chronic fatigue syndrome

A client comes to the clinic to see the physician with the complaint of "I think I ate something that I am allergic to." What symptoms would be appropriate for the nurse to ask the questions about?

diarrhea and abdominal cramping

A client with cytomegalovirus (CMV) infection reports difficulty seeing. The physician determines that the client is developing CMV retinitis. What medication does the nurse anticipate the client will receive for this?

foscarnet

A client who is HIV positive is taking zidovudine. Which adverse effects should the nurse closely monitor for in this client?

peripheral neuropathy

One of the nursing students asks the nursing instructor why someone would need cardiac surgery. What would be an appropriate response by the nursing instructor?

ventricular aneurysm