Adult Nursing, Chapter 37--HIV/AIDS. Test 4

AIDS wasting syndrome is attributed to: (4)

1. Anorexia 2. Diarrhea 3. GI Malabsorption 4. Lack of nutrition in chronic disease

The 8 phases of the life cycle of HIV (pages 1003-1004):

1. Attachment 2. Uncoating 3. DNA synthesis 4. Integration 5. Transcription 6. Translation 7. Cleavage 8. Budding

AIDS-related lymphomas tend to develop outside of the lymph nodes. Most commonly in: (3)

1. Brain 2. Bone Marrow 3. GI Tract

Those with HIV/AIDS are at greater risk of developing certain cancers. Specifically: (3)

1. Kaposi's Sarcoma (endothelium of blood and lymph vessels) 2. Lymphoma (Non-Hodgkins and Primary CNS) 3. Invasive Cervical Cancer

The major goals for Antiretroviral Therapy: (4)

1. Reduce HIV-associated morbidity 2. Restore and prolong the duration and quality of survival 3. Maximally and durably suppress plasma HIV viral load 4. Prevent HIV transmission

CD4 receptors are expressed on the surface of: (4)

1. T Lymphocytes 2. Monocytes 3. Dendritic cells 4. Brain microglia

Using ART, viral suppression is generally achieved in this time frame:

12-24 weeks

What percentage of individuals with HIV are over the age of 50?

25%

Currently, ART treatment is recommended when CD4 counts are between ____ - _____ mm3

350-500

After the completion of which phase of the HIV life cycle is the individual irreversibly infected?

4.--Integration

Describe an adequate CD4 response for most patients.

An increased CD4 count in the range of 50-150 mm3 per year.

Adults whose blood contains this are considered infected with HIV.

Antibodies for HIV

TMP-SMZ is the treatment of choice for Pneumocystis Pneumonia. This combination drug contains: (3)

Bactrim, Cotrim, Septra

The greatest contributing factor to becoming infected with HIV.

Behaviors

HIV targets cells with _____ receptors.

CD4

Study the bullet points on page 1005--

CDC Recommendations that apply to testing for HIV infection

WHO and UNAIDS recommend this as an effective strategy to reduce the risk of HIV acquisition in men.

Circumcision

When do most perinatal HIV infections occur?

During delivery

A clinical syndrome that is characterized by a progressive decline in cognitive, behavioral, and motor functions as a direct result of HIV infection.

HIV Encephalopathy

The most common neurologic symptom at any stage of HIV infection.

Peripheral neuropathy

The most common life-threatening infection in those living with AIDS.

Pneumocystis pneumonia

T or F. For a patient with HIV/AIDS suffering from chronic diarrhea, it is acceptable to administer antidiarrheal agents on a routine schedule rather than PRN.

TRUE

The most important indicator of response to ART.

Viral Load

HIV belongs to a group of viruses known as ______, which carry their genetic material in the form of RNA rather than DNA.

retroviruses