PrepU 36 Aids

tightness in chest

When the nurse administers intravenous gamma-globulin infusion, she recognizes that which symptom, if reported by the client, may indicate an adverse effect of the infusion?

X-linked agammaglobulinemia,

a type of B-cell deficiency, is characterized by low or absent B cells in the peripheral blood and low or absent levels of IgG, IgM, IgA, IgD, and IgE.

agammaglobulinemia,

disorder marked by an almost complete lack of immunoglobulins or antibodies group of inherited immune deficiencies

TMP-SMZ (Bactrim, Cotrim, Septra)

is the treatment of choice for PCP; it is as effective as parenteral pentamidine isethionate (Pentacarinat) and more effective than other regimens.

immunosuppressive agents

A client with severe combined immunodeficiency is to receive a hematopoietic stem cell transplant. What would the nurse expect to be started?

Caregiver cleans the client's anal area without wearing gloves

A home care nurse is visiting a client with acquired immune deficiency syndrome (AIDS) at home. During the visit, the nurse observes the caregiver providing care. What action by the caregiver would alert the nurse to the need for additional teaching?

trimethoprim-sulfamethoxazole

A client who is HIV+ has been diagnosed with Pneumocystis pneumonia caused by P. jiroveci. What medication will the client take for the treatment of this infection?

candidiasis

A client with acquired immune deficiency syndrome (AIDS) informs the nurse of difficulty eating and swallowing, and shows the nurse white patches in the mouth. What problem related to AIDS does the nurse understand the client has developed?

Meticulous infection control precautions

A client with severe combined immunodeficiency disease is receiving immunosuppression therapy to ensure engraftment of depleted bone marrow during transplantation procedures. What is the priority nursing care for this client?

pernicious anemia

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

Deep purple cutaneous lesions

A nurse is assessing a client with Kaposi's sarcoma. What initial sign does the nurse know to look for during assessment?

deep purple cutaneous lesions

A nurse is assessing a client with Kaposi's sarcoma. What initial sign does the nurse know to look for during assessment?

biopsy

Kaposi sarcoma (KS) is diagnosed through

report the incident to the supervisor

The nurse administers an injection to a client with AIDS. When finished, the nurse attempts to recap the needle and sustains a needlestick to the finger. What is the priority action by the nurse?

assessing for signs of infection

The nurse is caring for a client whose most recent laboratory values reveal a neutrophil level of 21,000 mm3. When preparing to assess the client, the nurse should prioritize what assessment?

"I can take my child to the beach, as long as we play in the sand rather than swim in the water."

The nurse is caring for a young client who has agammaglobulinemia. The nurse is teaching the family how to avoid infection at home. Which statement by the family indicates that additional teaching is needed?

"The client may have cryptococcal meningitis and will need to be evaluated by the health care provider."

The nurse receives a phone call at the clinic from the family of a client with AIDS. They state that the client started "acting funny" and reported headache, tiredness, and a stiff neck. Checking the temperature resulted in a fever of 103.2°F. What should the nurse inform the family member?

western blot essay

A client has undergone diagnostic testing for human immunodeficiency virus (HIV) using the enzyme immunoassay (EIA) test. The results are positive and the nurse prepares the client for additional testing to confirm seropositivity. The nurse would prepare the client for which test?

bank autologous bood

A client is to have a hip replacement in 3 months and does not want a blood transfusion from random donors. What option can the nurse discuss with the client?

Delayed hypersensitivity response

A client received 2 units of packed red blood cells while in the hospital with rectal bleeding. Three days after discharge, the client experienced an allergic response and began to itch and break out with hives. What type of reaction does the nurse understand could be occurring?

chronic diarrhea

A nurse is monitoring the client's progression of human immunodeficiency virus (HIV). What debilitating gastrointestinal condition found in up to 90% of all AIDS clients should the nurse be aware of?