Adaptive Quiz HIV/AIDS/SLE
Which purpose statements would the nurse use to fully explain antiretroviral therapy (ART) recently prescribed for a patient with human immunodeficiency virus (HIV)? Select all that apply.
ART will decrease the viral load in the blood. The medications prevent transmission of the HIV disease Prescribed medications maintain or increase the CD4 cell counts Therapy includes prevention of HIV-related opportunistic infections.
When teaching a patient infected with human immunodeficiency virus (HIV) about transmission of the virus to others, which statement made by the patient indicates understanding?
"I will notify all of my sexual partners so they can get tested for HIV."
When planning the care for a patient with human immunodeficiency virus (HIV) infection, which nursing action is helpful in preventing patient complications?
Educate the patient about the importance of adherence to drug therapy.
When assessing for a patient's human immunodeficiency virus (HIV) risk, which questions would the nurse ask? Select all that apply.
"Have you ever had a blood transfusion? "Have you ever had unprotected sexual intercourse? "Have you ever had a sexually transmitted infection?
Which statement by the patient, newly diagnosed with human immunodeficiency virus (HIV) infection, indicates an understanding of ways to prevent transmission to others?
"I will avoid unprotected sexual contact."
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."
Which information about a baby's risk of being born with human immunodeficiency virus (HIV) infection would the nurse share with a pregnant woman who voluntarily tested and was diagnosed positive with HIV?
"Treatment with antiretroviral therapy decreases the baby's chance of developing the HIV infection."
Which statement indicates that the patient, concerned about contracting the human immunodeficiency virus (HIV) infection, understood the teachings about transmission provided by the nurse?
"Using a condom with a spermicide will reduce my risk of contracting HIV."
Which factor is considered diagnostic for systemic lupus erythematosus (SLE)?
Anti-Smith antibody
The nurse is performing an assessment of a patient with acquired immunodeficiency syndrome (AIDS) and observes a whitish coating on the tongue and throat. Which fungus does the nurse suspect are causing the lesions?
Candida albicans
Which opportunistic infection would the nurse associate with a patient who is human immunodeficiency virus (HIV)-positive and presents with yellow patches in her mouth, esophagus, and vagina?
Candida albicans
A patient with systemic lupus erythematosus (SLE) may experience which cardiopulmonary manifestations? Select all that apply.
Cough Tachypnea Dysrhythmias
A patient with systemic lupus erythematosus (SLE) may experience which symptoms related to Raynaud's phenomenon?
Cyanosis of fingers
Which action will the nurse include when caring for a patient with systemic lupus erythematosus (SLE) who reports a persistently erythematous rash over the cheeks and the bridge of the nose which appeared after spending a day outside at a theme park?
Educate the patient that this is not unexpected for someone with SLE
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? Select all that apply.
Esophageal candidiasis CD4 count less than 200 cells/µL
The nurse is caring for a patient with a diagnosis of acquired immunodeficiency syndrome (AIDS). Which precautions does the nurse take when administering an IV medication injection to the patient? Select all that apply.
Gloves Hand hygiene
Which routes of transmission and infective periods would the nurse share with the patient who is human immunodeficiency virus (HIV) positive and pregnant? Select all that apply.
HIV can be transmitted by breastfeeding. HIV can be transmitted lifelong once a person is HIV-positive HIV can be transmitted even before it is detected on a screening test
When teaching a patient with human immunodeficiency virus (HIV) about CD4 T cells, which statement would the nurse include?
HIV destroys your CD4 T cells and depletes your immune system.
Which preexposure prophylaxis strategies would the nurse teach a patient who is concerned about contracting human immunodeficiency virus (HIV) from a partner's sexually risky activities? Select all that apply.
Have regular HIV testing for both partners Use condoms for risk-reducing sexual relations. Take combination medication of emtricitabine and tenofovir disoproxil fumarate (TRUVADA).
Which factors may precipitate systemic lupus erythematosus (SLE)? Select all that apply.
Hydralazine Procainamide Sun exposure Oral contraceptives
Which cancers would the nurse discuss with the patient inquiring about the opportunistic carcinomas included in the diagnostic criteria for acquired immunodeficiency syndrome (AIDS)? Select all that apply.
Kaposi sarcoma Burkitt's lymphoma Invasive cervical cancer
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
For which symptoms would the nurse assess a patient with acquired immunodeficiency syndrome (AIDS)?
Low-grade fever and persistent diarrhea
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? Select all that apply.
Neutropenia Abnormal liver function tests
A patient with human immunodeficiency virus (HIV) infection has been admitted with pneumonia. The nurse anticipates that the patient will receive treatment for which type of pneumonia?
Opportunistic pneumonia caused by Pneumocystis jiroveci
Which cardiovascular complication is related to systemic lupus erythematosus (SLE)?
Pericarditis
A nurse teaches personal protection and the care required for a patient with human immunodeficiency virus (HIV) in the clinical setting. Which form of work-related HIV transmission would the nurse present as occurring most often?
Puncture wounds from contaminated needles
A patient's voluntary enzyme immunoassay (EIA) antibody is negative for human immunodeficiency virus (HIV); however, the patient reports recent sexual contact with multiple partners. Which action would the nurse implement?
Recommend HIV retesting at three weeks, six weeks, and three months.
Which disorder is a major complication of systemic lupus erythematosus (SLE)?
Renal failure
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? Select all that apply.
Safe sex practices Regular HIV testing Risk reduction counseling
Two weeks after exposure to human immunodeficiency virus (HIV) during unprotected intercourse, the patient reports fever, swollen lymph nodes, sore throat, headache, malaise, and nausea, as well as muscle and joint pain. Which process explains these clinical manifestations? Select all that apply.
Seroconversion Acute HIV infection
Which method of transmission precaution would the nurse use when providing care for a patient suspected of being positive for human immunodeficiency virus (HIV) in the hospital setting?
Standard precautions
A patient with a recent history of multiple sexual partners underwent human immunodeficiency virus (HIV) antibody/antigen testing. The blood sample was negative for HIV infection. How does the nurse explain the test result to the patient?
The test should be repeated in four to six weeks
A patient with a history of human immunodeficiency virus (HIV) is scheduled to receive antiretroviral drugs. Which statement by the patient reflects a correct understanding of the purpose of the medications?
These drugs work by decreasing the viral load."
A nurse obtained a blood sample with a syringe and large-bore needle from a patient with chronic human immunodeficiency virus (HIV) and a CD4+T-cell count of 123/μL. Which factors may affect the transmission of HIV infection if the nurse sustained a needle stick from the contaminated needle? Select all that apply.
Viral load of the patient Immune status of the injured nurse Volume of blood exposed to nurse
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
Which environmental factors may contribute to the occurrence of systemic lupus erythematosus (SLE)? Select all that apply.
Stress Viral infections Ultraviolet (UV) light exposure Exposure to chemicals and toxins
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? Select all that apply.
A CD4+ T-cell count below 200/µL The presence of an opportunistic infection Presence of an opportunistic cancer Loss of 10% or more of ideal body mass
Which integumentary findings are included in the diagnostic criteria for systemic lupus erythematous (SLE)? Select all that apply.
Discoid rash Fixed erythema Raised butterfly rash
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.
The nurse provides education for a patient with human immunodeficiency virus (HIV) who is diagnosed with an infection of the lungs caused by Candida albicans. Which statement made by the patient indicates the need for further teaching?
"I need to be isolated from my family and friends so that they won't get the infection."
A patient with human immunodeficiency virus (HIV) is hospitalized. The patient's assessment findings include a CD4+ T-cell count of 150 cells/μL and a 12% loss of ideal body mass. Which diagnosis does the nurse suspect?
Acquired immunodeficiency syndrome (AIDS)
Which self-management measures would the nurse teach a patient with human immunodeficiency virus (HIV) to prevent developing a resistance to antibiotics and infections? Select all that apply.
Advise the patient to avoid skipping antibiotic doses Advise the patient to wash hands properly and regularly Advise the patient to avoid requesting an antibiotic for flu or colds.
Which strategies would the nurse teach a patient with a history of substance abuse about eliminating the risk of human immunodeficiency virus (HIV) transmission? Select all that apply.
Always use sterile equipment to inject drugs Clean equipment used to inject the drugs you use Do not participate in sexual intercourse while under the influence of drugs
Which opportunistic infections would the nurse monitor for clinical manifestations in the patient with acquired immunodeficiency syndrome (AIDS)? Select all that apply.
Candidiasis of bronchi Toxoplasmosis of the brain Mycobacterium avium (MAC) complex
Which statements would the nurse include when teaching an awareness program on acquired immunodeficiency syndrome's (AIDS') routes of transmission? Select all that apply.
Having intercourse with only one stable partner can still infect a person Even if a condom is used each time there is sexual intercourse, a person can be infected. If sexual contact is limited to those without human immunodeficiency virus (HIV) antibodies, an individual can still become infected
A patient with acquired immunodeficiency syndrome (AIDS) presents to an outpatient clinic with reports of yellowed skin, fatigue, and knee pain. Which opportunistic infection does the nurse suspect?
Hepatitis B virus (HBV)
The nurse, who was accidently stuck with a needle used for a patient with human immunodeficiency virus (HIV), reported the incident to the charge nurse. Which action would the injured employee implement next?
Immediate care of the exposed site with soap and water
A patient with human immunodeficiency virus (HIV) infection reports a history of injecting addictive drugs. The nurse recognizes that the patient is susceptible to which other conditions? Select all that apply.
Hepatitis B Hepatitis C Phlebitis
Which patient statements reflect understanding of the educational content presented by the nurse for patients who are newly diagnosed with human immunodeficiency virus (HIV)? Select all that apply.
I need to keep my appointments for follow-up laboratory work." I will call my health care provider if I am too sick to take these drugs." "I won't take any new drugs or herbal products without checking with my health care provider first."